Wheezy Child Flashcards
What is a wheeze?
Noise
Expiratory
Prolonged expiration
What physiologic change causes wheezes?
Airway narrowing (from any cause) Intra thoracic
What is a stridor?
Inspiratory noise
Airway narrowing
Extra thoracic airway
What are characteristics of stridor?
Harsh
High pitched
Loud inspiratory sound
Rapid airflow through a narrowed passage
What are some acute symptoms?
S.O.B.
Cough
Wheeze
Anxiety
What are some chronic symptoms?
Wheeze
Night Cough
Prolonged Cough/wheeze with URTI
Exercise Limitation (lifestyle)
What is a differential diagnosis for a wheeze in an infant?
Congenital anomalies
- Vascular compression of the trachea
- Tracheomalacia
- Laryngomalacia
- Tracheoesophageal fistula
Cystic Fibrosis
Aspiration
- Gastroesophageal reflux
Infection
- RSV
Environment/Smoke
Normal
What are some investigations for wheeze infants?
Physical exam
- Dysmorphic features
- Growth
- Stridor or wheeze?
Chest X-ray
Sweat test
Barium swallow
Bronchoscopy
pH probe
T or F: RSV Bronchiolitis is associated with recuurent wheezing
T
Which illness is most common among young children?
RSV Bronchiolistis
What is the management for RSV bronchiolitis?
supportive prophylaxis no Ab no steroids no bronchodilators
What is the different diagnosis for toddlers with wheezing?
Congenital Malformation Cystic Fibrosis Infections Aspiration Reflux Foreign Body Smoke Normal
What is the differential diagnosis for school aged children with wheezing?
Congenital Cystic Fibrosis Reflux Pertussis Atypical pneumonia Foreign body Sinusitis
What is the differential diagnosis for adolescent with wheezing?
Difficulty breathing with exertion - Relief with Ventolin: Is this always asthma? Poor conditioning - Background of asthma common Vocal cord dysfunction Psychogenic or “habit” cough Foreign body Smoking Sinusitis
What is vocal cord dysfunction?
Acute onset of respiratory distress precipitated by physical and/or emotional stress
