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Short Answer Questions for ED Fellowship Study

Case: Infant bronchiolitis

A 14-month-old girl presents with 2 days of increasing work of breathing and wheeze following a viral prodrome. Her initial observations are as follows : T 38.2°C HR 140 RR 65 Sats 95%RA There is moderate WOB on exam with bilateral wheeze and creps with good air entry on auscultation. You feel she most likely has bronchiolitis.

1. List three potential differential diagnoses for this presentation. 3 marks

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2. List five clinical features you would assess in an infant with bronchiolitis and the finding consistent with severe disease. 5 marks

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3. List four risk factors associated with the development of severe bronchiolitis in infancy. 4 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.