Shortness of Breath

Abstract

This case illustrates the classic presentation of bronchiolitis, which is a clinical diagnosis. The pathophysiology is that of an upper respiratory infection, most commonly respiratory syncytial virus, progressing to involve the lower airways, with subsequent wheezing and respiratory distress. Supportive care is the focus of management in the majority of cases, as interventions including bronchodilators, nebulized racemic epinephrine, nebulized hypertonic saline (for nonhospitalized settings), steroids, and antibiotics all provide inconsistent or no benefit. Although a small subset of patients has shown to benefit from bronchodilator therapy, no study clearly defines this group. In severe cases, noninvasive respiratory support may be needed. Radiographic imaging and respiratory panel testing for infectious causes are not routinely recommended.

Arte, educación y mujer. Embarque hacia el exilio de 1939

“…Amparo Muñoz Montoro, depurada de su oficio de profesora de dibujo tras la guerra, arribó a México también en fechas tardías (1946), gracias a su matrimonio por poderes con el escultor Manuel Edo Mosquera. Alumna de la Escuela de Bellas Artes de San Carlos de Valencia y especializada en escultura, acabó teniendo que dedicarse durante su exilio en México a la publicidad -junto a su marido-en el periódico El Excélsior y a la colaboración en revistas de moda 49 .…”