Breath holding Spell
Cystic Fibrosis
Pertussis (Whooping cough)
PNA viral
crackles/rales
Rhonchi
History!
PNA bacterial
Laryngomalacia
Epiglottis
Bronchiolitis
Stridor
Sudden Death Syndrome
wheezing
Central Apena
Croup
#1 Asthma RF
Asthma TX add ICS
Peritonsillar Abscess
Obstructive sleep Apnea
Bacterial Tracheitis
Most important component to accurate Dx.
Floppy airway, Insp stridor, resolves 1 yr.
2-4m, RF; male, winter, preemy. Back-to-Sleep.
Auto Rec, CFTR gene, salt halt, sweat Cl test, NB screen IRT/DNA, Tx CFTR Mods.
toddler, awake, turns blue, LOC, seizures, awake again
crumpled cellophane, fluid, consolidation
Follows croup, S. aureus, squeaky stridor, XR-shaggy trach, airway 911!, IV ABX
fever+, congestion,UAI, cough, wheezing, stridor, CBC mild leuko, XR- diffuse
B. Pertussis, >6m, post tuss Emesis, prevent Dtap Vac, Dx PCR+ culture, Tx Macrolide
intrathoracic, infection, bronchitis
<36 wks, bradycardia, tx caffeine
6m-3yr, fever, URI, p. Flu virus, barking cough, steeple sign, DEXA.
Step 2, sym >2d/w. Step 3 sym daily.
musical, lower airway, broncospasm
harsh, monophasic, barky cough, UAO
2-8yo, restless sleep, UAO by tonsils, tonsillectomy
2-6yo, GAS, tripod, no Vac, thumb sign, 911!, intubate+ABX , HIB vac.
ATOPY
>8, fever, hot potato voice, GAS, CBC, ABX+drainage
2-6m, #1 hospital infants, RSV, winter, apnea, wheezing. TX SUCTION! prev. Palivizumab
Fever+++, chills, cough,, WBC>15k, Neutrophil. XR-consol. TX PO Amox, IV Ampi
