You are the family Doctor in a city based practise. Your next patient is Rory Gallagher, a four month old boy. His mother has brought him to you to check him over to make sure nothing is wrong. She tells you the following:
He’s had a cough for the last 3 days
This has unsettled him and put him off his feeds
She is not sure if he is hungry or not – he is crying a lot and seems to want to suck, but then only takes a few mouthfuls of feed before breaking off and crying again. His cry seems unusual.
You collect a little more information; you find he was born normally at term, that he is the mother and her boyfriend’s first child, that he is smiling, fixing and following with his eyes, and is beginning to control his head better. He is up to date with his immunisations too.