Respiratory illness in children

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Presentation transcript:

Respiratory illness in children Dr Annette Connelly MBBS FRACP Paediatrician

A Asthma B Bronchiolitis C Croup

Asthma

Asthma

History

History

History Peanut allergy Previous ICU admission How much ventolin at home

Examination

Most Reliable….

Mental State

Severe

Severe Exhaustion Poor respiratory effort Silent Chest Cyanosis

Treatment

Treatment

Treatment

Undertreatment

Undertreatment ?

Bronchiolitis

Treatment

Treatment

No evidence for…

Other cardiorespiratory illness Under 6 weeks (corrected age)

Overhandling

The sick infant deteriorates with handling

Group cares Minimise examinations

Croup

Croup Symptoms Signs Sounds

Differentials

Minimal handling Allow own position Treatment Minimal handling Allow own position

Treatment

Subglottic stenosis Down syndrome

Two or more doses of adrenaline Normal oxygen saturation

A Asthma B Bronchiolitis C Croup

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