Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a paroxysmal cough of [Number] weeks' duration, characterized by inspiratory whoop and post-tussive emesis. Symptoms began with a catarrhal phase (rhinorrhea, low-grade fever) and progressed to severe coughing fits. No known recent immunizations or known exposure to confirmed pertussis cases.
Clinical Examination Findings
General: Patient appears [well/ill-appearing], in no acute distress between coughing paroxysms. HEENT: Mild conjunctival injection, no significant pharyngeal erythema. Lungs: Clear to auscultation, no wheezing or crackles. Cardiovascular: Regular rate and rhythm, no murmurs. Skin: No petechiae or subconjunctival hemorrhage noted.
Treatment Protocol
Initiate Macrolide antibiotic therapy (Azithromycin 10mg/kg day 1, then 5mg/kg days 2-5). Advise supportive care: hydration, small frequent meals, and avoidance of cough triggers (smoke, dust). Monitor for respiratory distress or apnea. Report to public health authorities as per protocol.