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Chronic or Recurrent Respiratory Symptoms in Children – An Approach

Chronic or Recurrent Respiratory Symptoms in Children – An Approach

Common Recurrent or Persistent Respiratory Symptoms –

Cough
Wheeze
Stridor
 Persistent Lung Infiltrates #

Evaluation of chronic respiratory symptoms can be difficult  because –

Symptoms  – close succession of unrelated ARTI
Symptoms may have Single pathophysiologic process.
Lack of specific diagnostic tests.
Parental anxiety – pressure for quick therapeutic relief.

Approach to Diagnosis and Treatment
•Points to remember
–Symptoms – minor problem or life threatening process.
–Determine – most likely pathogenic mechanism.
–Simplest effective …

Approach to a Child with Chronic cough : ACCP guidelines

Approach to a Child with Chronic cough : ACCP guidelines

Cough is one of the most common presenting complain in children at Out-patient. Cough may be just a benign protective phenomenon , but at times it become troublesome . Cause of Cough Should be sought for even outside the respiratory system, like ears,abdomen etc.
CHRONIC COUGH
Cough  lasting for 4 weeks or more -CHEST January 2006
1.Inflammatory disorder of airway
Asthma & Loeffler’s syndrome, Tropical …

AN APPROACH TO A CHILD WITH WHEEZE

AN APPROACH TO A CHILD  WITH WHEEZE

AN APPROACH TO A CHILD WITH WHEEZE

WHEEZES OR RONCHI:
Wheeze is a dry musical sound associated with airway narrowing.
The expiration is prolonged.
WHEEZING:
Common in infants and young children because of unique age specific anatomic and physiologic properties and gender specific intrinsic lung characteristics.
By year 1- 20 % children.
By 3 years- 33% children.
By 6 year- 50% children.
< 15% children are …

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