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Chief complints- A

4yrs old female child

Was brought by mother with the

complaints of cough :: 7days

History of Presenting illness:

child was apparently asymptomatic

7days back then developed cough which was

Productive type, diurnal variation Present, gradually progressive more during the night time

associated with post tussive vomiting.

It is associated with nasal discharge

noisy breathing,

not associated

with mouth breathing


H/o fever 

5 days back for 3 days

which was gradual in onset, low grade, intermitta not associated with rigors; aggrevates durine night time , relieved on taking medication

Past History 

H/o nasal discharge at 3 months of age. Shown to local RMP , where symptomatic and supportive treatment was given and symptoms subsided. No documentation available

Antenatal History -conceived spontaneously after 9 months of married life

Natal History

Full term, LSCS  BT WT 2.5kg cried immediately after birth Breast fed within 24 hours of delivery .

POST NATAL HISTORY

H/O NiCU admission for 4 days

I/V/O neonatal hyperbilirubinemia,  meconium aspiration

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