A 10-month-child weighing 5 kg and with 65 cm length, presents with cough and cold. He was found to have a respiratory rate of 48 per minute with no retractions, grunting, cyanosis. There is no history of convulsions. Which is true?
No pneumonia, only cough and cold
Child has pneumonia
Severe pneumonia
Very severe disease
a. No pneumonia, only cough and cold(Ref: Nelson's 20/e p 2088-2093, Ghai 8/e p 379-381)Cut-off for fast breathing:Age<2 months2-12 months12-60 monthsRespiratory Rate>=60/min>=50/min>=40/minSo this baby does not have fast breathing; So this child has No pneumonia, only cough and cold, even though the child is malnourished (wt=5kg at 10 months against expected of 9kg).
Respiratory System