Cases Study 1 Pediatric ‘Stubjective and objective data ‘Mrs. King brings 25 years old Billy to the pediatrician’s office because he has “been irritable and feverish since last might”. Further history reveals that Billy also had a runny nose and cough for two days, and that his appetite and fluid intalee have decreased since the fever started Billy is otherwi jealthy, this is the first episodic illness. His physical examination reveals slight, sritable, 2.5 years-old gia, pulling at ears, temperature of 102°F, nasal congestion with clear discharge, tympanic membranes red and bulging bilaterally, pharyme slightly red without exudates. Chest clear, abdomen soft without hepatorplenom egaly ISM) an no meningeal signs. The pedriaticien diognoses an upper respiratory infection (URI) and bilsteral otitis media (BOM) and order amoxicillin 250 mg td s for 10 days Etology URlis often mischaracterized as aa upper respiraiory infection. The truth stands I URL Acute Retpicatory Infections. URLinclude upper respiratory tract and lower sempiratory tract. URlis a respiratory infection that lasted up to 14 days. The definition of the respiratory tract is the organ from the nose to alveolus, and surrounding organs such as: sinus, middle ear space and pleura. ‘The mejosity of respiratory tract infections just be mild such as cough and cold and does not require treatment wath antibictics, however, the child will suffer pneumonia when lung infection is not treated with antibictics resulted in death. The etiology of most of the upper airway disease this virusis and is notrequired antibiotic therepy. By Streptococcus pharyngitis is rarely found in infants. If foundlto be treated with antibiotics penicillin, all acute ear inflammation should receive antibiotics URI can be transmitted through saliva, blood, meezing, breathing air containing germs are inhaled by healthy people kesaluran breathing