Asthma Clinical Features in Children Flashcards
what are the main clinical features that indicate a child has asthma
wheeze, SOB@rest multitrigger atopy parental asthma RESPONDS TO TREATMENT
define Ciliary Dyskinesia
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.
define Tracheo-bronchomalacia
rare condition that occurs when the walls of the airway are weak, this can cause the airways to become narrow or collapse
define Gastro-oesophageal reflux
Gastro-oesophageal reflux disease is a common condition where acid from the stomach leaks out of the stomach and up into the oesophagus.
what are some clinical features of bacterial bronchitis
recurrent wet cough
darth vader
palpable fremitus
very well child
what is Petechia
small red/purple spot causes when capillaries bleed/leek into the skin
what are common triggers in pediatric asthma
URTI ( rhinovirus in 75%) exercise allergen cold air emotion
what history might you look for
do they have exzema
hayfever
food allergies
is there a family history
what is the treatment for suspected asthma
inhaledcortisol steroids for 2 months
what could be included in a differential diagnosis for asthma
viral induced wheeze
foreign body
CF
immune deficiency
if the child is under 18 months is it likely to be asthma
no probably an infection
what age group commonly gets Bronchitis
2-3 years
how can bronchitis be defined
a wet cough
sound like darth vader
palpable fermitus
despite symptoms child is usually well
what is fermitus
the vibratory tremors that can be felt through the chest by palpation when examining
how do you confirm the diagnosis of asthma
trial of ICS and see if patient responds to treatment