Bronchiolitis

Question 1

RF

Answer 1

Smoking in household
Sibling in school/viral transmission
Prematurity (chronic lung disease)

Question 2

Presentation

Answer 2

2-3 days worsening coryzal symptoms.
Wheeze, crackles
Chest recession, tachypnoea, cough

Question 3

Investigations

Answer 3

Nasopharyngeal aspirate for RSV (respiratory syncytial virus)
Bloods and urine culture if pyrexial
Blood gas if severely unless.

CXR indicated if atypical signs and progression.

Question 4

Management

Answer 4

Will subside within 7 days with adequate fluid, nutritional support and temperature control.

Admission urgent if:
Respiratory distress (RR >70, grunting, central cyanosis, nasal flaring, costal recessions, apnoea)