A 4-month-old has a runny nose, wheeze, crackles and difficulty feeding in winter. What is the most likely diagnosis?

Answer and explanation

Correct answer: B. Bronchiolitis

  1. Step 1: The picture of wheeze and crackles in an infant in winter fits Bronchiolitis.
Answer
Bronchiolitis.
Why not the others: 'Asthma': wheeze in older children responds to bronchodilators and recurs. 'Pertussis': it gives paroxysmal cough with whoop. 'Foreign body aspiration': it gives sudden onset and unilateral signs.

Practise more Paediatric and obstetric cases.

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