再麻煩一次~~新生兒病歷~真的很急啊

Chief complaints: Fever and cough for 2 days Present Illness:This is a 3 m/o.boy﹐he was brough to our OPD due to fever and cough for 2days .According to the statemnts of the patient`s mother

he had been productive cough after our PDA treatment but in vain

He eas also noted fever off and on

cough with sputum

nasal obstruction

rhinorrhea

mild shortness of breath irritable crying and poor sleep poor feeding with fair activity also noted physichi

examination found brea thing sound rhonchi

mild abdomen distension

Under the impression of acute bronchiolitis

the was admitted to our ward for further evalustion and management Past

personal History: 1.Birth Hx:Gpa:G4P4A

jGA:38週 BBW: 3135gm

Labor type: B ho PROM: Blood type: B .2.Feeding history : Breast feeding