Bronchiolitis

Question 1

Key background info

Answer 1

Suspect in kids <12m

Viral LRTI

Question 2

Features of Hx

Answer 2

1) runny nose, cough, stuffiness
2) followed by fast breathing
3) poor feeding
4) noisy breathing (wheeze)
5) drawing in of chest
6) fever

Babies are usually worst on day 2-3
Recovery takes 7- 10 days
Cough may continue for 2-4 weeks

Question 3

Features on exam

Answer 3

1) increased WOB
2) widespread wheeze + crepitations
3) +/- fever
4) may have reduced 02 sats
5) look for signs of dehydration
6) +/- accessory muscle use

Question 4

Are Ix needed?

Answer 4

Ix not routinely done. In most kids, none needed

Question 5

RF for bronchiolitis

Answer 5

Ex premature
Young <6 weeks
Congenital hear disease
Chronic resp illness
Smokers in house