Jihan had quite a bad URTI recently and when i came home from work one day, i found out she was a bit tachypneic and her cough was very chesty...according to my maid she had audible wheeze as well...but she didn't give any medications to Jihan or called me to infrom on Jihan's condition...
Jihan was very uncomfortable with her condition and she cried whenever she coughed....there were bilateral rhonchi and she appeared very tachypneic...we decided to bring her to the A&E for a neb after the medication we gave did not improved her condition...
Jihan was rather scared at first to get her first neb but the she seemed to cool down and felt comfortable with it....soon after completing the neb, i auscultated her lungs and the rhonchi had disappeared and she was no more tachypneic...in fact, she was singing and dancing in the A&E...
that was her first episode of acute wheezing....hopefully, it was just a hyperactive airway...and now she is back to her square one- active, cheeky and mischivious...!