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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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Acute asthma
www.rch.org.au/clinicalguide/guideline_index/Acute_asthma/
of age presenting with wheeze are likely to have bronchiolitis that does not respond to bronchodilator … symptoms (eg nocturnal cough, exercise induced wheeze, morning cough), school attendance, participation … muscle use, retraction) Assess air entry Wheeze intensity, pulsus paradoxus and peak expiratory flow rate …
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Oncological emergencies: Mediastinal mass
www.rch.org.au/clinicalguide/guideline_index/Oncological_emergencies__Mediastinal_mass/
with stridor or wheeze Orthopnoea (difficulty lying flat on back to sleep at night) Bone pain Collapse … distress in healthcare setting ). Do not force the child to lie flat Examine for stridor or wheeze which …
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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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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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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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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 …