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