What Are the Complications of Pneumonia?
Patient Presentation A 4.5-year-old female came to the emergency room with a 2 week history of cough that was increasing in frequency. She also had a fever with a maximum of 102 degrees Fahrenheit. For the past 3 days she had some increasing shortness of breath and mild abdominal pain. She did not want to eat solid food but was drinking. The past medical history was negative. She was current on her vaccinations and had some colds and ear infections in the past. The review of systems was negative. The pertinent physical exam showed a tired-appearing female with respiratory rate of 44, temperature of 38 degrees Celsius, heart rate of 140 and normal blood pressure. Capillary refill was 3 seconds. Height and weight were 25-50%. Her oxygen saturation by pulse oximetry was 97% on room air. Her HEENT examination was normal except for suprasternal retractions and mild nasal flaring. Lung examination showed no breath sounds on the left side and normal sounds on the right. Heart examination reve
