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A one-year-old baby is brought to you by her mother with complaints of cough and cold. There is no chest wheezing. Respiratory rate is 38/min. There i
Question

A one-year-old baby is brought to you by her mother with complaints of cough and cold. There is no chest wheezing. Respiratory rate is 38/min. There is no chest indrawing. What is your diagnosis?

A.

No pneumonia

B.

Pneumonia

C.

Severe pneumonia

D.

Healthy child

E.

Question not attempted

Correct option is A


WHO classifies pneumonia based on respiratory rate and signs of distress in children.
· (a) No pneumonia – Correct, as a respiratory rate of 38/min in a one-year-old is normal (threshold for pneumonia is >50/min). No chest indrawing also suggests the absence of pneumonia.
· (b) Pneumonia – Incorrect, as pneumonia in infants is diagnosed when the respiratory rate is higher than 50/min with or without chest indrawing.
· (c) Severe pneumonia – Incorrect, as severe pneumonia is diagnosed when additional signs like severe respiratory distress, lethargy, or cyanosis are present.
· (d) Healthy child – Incorrect, as although the child does not have pneumonia, the presence of cough and cold suggests a mild respiratory infection, not complete health.

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