Nocturnal

Immune System


Step 1: View Clinicals

{"ops":[{"insert":"A 12 year old boy presents with a persistent non-productive cough for 5 weeks, associated with nocturnal paroxysms, inspiratory whoops, and intermittent post-tussive vomiting. He also experienced on and off wheezing.\n\nHe was anorectic, and lost around 2 kg of weight during the same period. His symptoms did not respond to a course of Amoxicillin.\n\nHe was completely healthy earlier, with unremarkable medical and surgical histories. All immunizations are up to date.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-P-018_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. FBC + CRP
2. Chest X-Ray
3. Flexible Bronchoscopy
4. Sputum Induction and Cultures

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