Asthma Clinical Features in Children Flashcards

1
Q

what are the main clinical features that indicate a child has asthma

A
wheeze, SOB@rest
multitrigger
atopy
parental asthma
RESPONDS TO TREATMENT
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2
Q

define Ciliary Dyskinesia

A

Primary ciliary dyskinesia (PCD) is a genetic disorder of the structure and/or function of cilia—tiny, microscopic moving structures that line the airways, ears, sinuses and some other structures.

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3
Q

define Tracheo-bronchomalacia

A

rare condition that occurs when the walls of the airway are weak, this can cause the airways to become narrow or collapse

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4
Q

define Gastro-oesophageal reflux

A

Gastro-oesophageal reflux disease is a common condition where acid from the stomach leaks out of the stomach and up into the oesophagus.

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5
Q

what are some clinical features of bacterial bronchitis

A

recurrent wet cough
darth vader
palpable fremitus
very well child

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6
Q

what is Petechia

A

small red/purple spot causes when capillaries bleed/leek into the skin

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7
Q

what are common triggers in pediatric asthma

A
URTI ( rhinovirus in 75%)
exercise
allergen
cold air 
emotion
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8
Q

what history might you look for

A

do they have exzema
hayfever
food allergies
is there a family history

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9
Q

what is the treatment for suspected asthma

A

inhaledcortisol steroids for 2 months

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10
Q

what could be included in a differential diagnosis for asthma

A

viral induced wheeze
foreign body
CF
immune deficiency

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11
Q

if the child is under 18 months is it likely to be asthma

A

no probably an infection

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12
Q

what age group commonly gets Bronchitis

A

2-3 years

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13
Q

how can bronchitis be defined

A

a wet cough
sound like darth vader
palpable fermitus
despite symptoms child is usually well

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14
Q

what is fermitus

A

the vibratory tremors that can be felt through the chest by palpation when examining

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15
Q

how do you confirm the diagnosis of asthma

A

trial of ICS and see if patient responds to treatment

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