Wheeze

Question 1

What is a viral induced wheeze?

Answer 1

Acute wheezy illness caused by a viral infection

Question 2

What are the typical features of a viral induced wheeze that differentiae it form asthma?

Answer 2

• Presenting before 3 years of age
• No atopic history
• Only occurs during viral infections

Question 3

How does a viral induced wheeze present?

Answer 3

Evidence of a viral illness (fever, cough and coryzal symptoms) for 1-2 days preceding the onset of:
• Shortness of breath
• Signs of respiratory distress
• Expiratory wheeze throughout the chest

Question 4

What type of wheeze does viral induced wheeze present with?

Answer 4

Expiratory wheeze throughout the chest

Question 5

Who does a viral induced wheeze typically affect?

Answer 5

Children under 3

Question 6

What are the 2 most common viruses associated with viral induced wheeze?

Answer 6

RSV

Rhinovirus

Question 7

What is the first line management of viral induced wheeze?

Answer 7

short acting beta 2 agonists (e.g. salbutamol)
Or
Anticholinergic via a spacer

Question 8

What is the second line management of viral induced wheeze?

Answer 8

Intermittent leukotriene receptor antagonist (montelukast)
Intermittent inhaled corticosteroids
Or both

Question 9

What is the management for viral induced wheeze the same as?

Answer 9

The management for asthma