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Preschool asthma (1-5 years)
www.rch.org.au/clinicalguide/guideline_index/Preschool_asthma_(1-5_years)/
of wheeze that are triggered by respiratory viruses and do not require a preventer A therapeutic trial … with recurrent episodes of wheeze, cough or difficulty breathing/activity limitation, all of which respond … common conditions and a lack of objective tests Wheeze in children <1 year is most likely caused …
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Cough
www.rch.org.au/clinicalguide/guideline_index/Cough/
rings or other anomalies Toddlers Foreign body, viral induced wheeze Older children Asthma*, chronic … rhinitis Adolescents Asthma*, smoking, psychogenic factors *In the absence of wheeze or dyspnoea, asthma … Respiratory signs – particularly wheeze, differential air entry or crepitations Management In a well child …
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Acute asthma
www.rch.org.au/clinicalguide/guideline_index/Acute_asthma/
by a respiratory viral infection Coexisting atopy is common Children <12 months of age presenting with wheeze …, exercise induced wheeze, morning cough), school attendance, participation in physical activity …) Assess air entry Wheeze intensity, pulsus paradoxus and peak expiratory flow rate are not reliable …
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Foreign bodies inhaled
www.rch.org.au/clinicalguide/guideline_index/Foreign_bodies_inhaled/
, coughing or wheezing while eating or playing (many are unwitnessed) Tachypnoea and respiratory distress … Cyanosis Persistent wheeze (may be focal and partially respond to bronchodilators) Persistent cough Fever … wheeze or decreased breath sounds Check for other FB in ears, nose and throat (if child is stable …
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Resuscitation - Appendices
www.rch.org.au/clinicalguide/guideline_index/Resuscitation_Appendices/
, subcostal or suprasternal recession; use of accessory muscles) Respiratory noises (wheeze, stridor, grunting …
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Hydrocarbon poisoning
www.rch.org.au/clinicalguide/guideline_index/Hydrocarbon_poisoning/
Co-ingestants (eg paracetamol) Examination Respiratory Coughing / gagging / choking indicates aspiration Wheeze … Normal ECG No respiratory symptoms (cough, dyspnoea, wheeze) Normal observations including pulse oximetry …
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Acute upper airway obstruction
www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
Anaphylaxis Swelling of the face and tongue Wheeze Urticarial rash Allergen exposure Haemodynamic compromise …, vomiting episode (may not be witnessed) May have unilateral chest findings, wheeze Reduced pharyngeal tone …
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Food allergy - IgE mediated food allergy
www.rch.org.au/clinicalguide/guideline_index/Food_allergy_-_IgE_mediated_food_allergy/
, stridor Wheeze, chest tightness, difficulty breathing, persistent coughing Cardiovascular: Pallor …, tongue swelling, laryngeal oedema Breathing – tachypnoea, cough, wheeze Circulation – tachycardia …
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Asthma Discharge Pack
www.rch.org.au/clinicalguide/guideline_index/Asthma_Discharge_Pack/
need for preventative treatment Consider preventative treatment if Wheezing attacks less than 6 weeks …
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Chest pain
www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
Salbutamol responsive Tachypnoea Talking short sentences Hypoxia Widespread wheeze Pneumonia Fever Cough …,fever, wheeze or consolidation Haemoptysis Increased WOB/stridor Colour changes if acute event May have … normal exam Stridor/voice changes Tachypnoea Hypoxia Focal wheeze Localised decreased air entry …