14th August 2020

A 7-year old child presents to A&E with difficulty breathing

A 7-year old child presents to A&E with difficulty breathing. They are unable to complete sentences and seem quite drowsy and confused. On examination, you hear a generalised wheeze. You note that the child has a past history of asthma. Their initial observations are as follows.

HR 127, RR 34, SpO2 90% on air, BP 109/70, T 38.2

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.