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First Time Wheezing in a 2-Year-Old
- Source :
- Pediatrics. 148(1)
- Publication Year :
- 2021
-
Abstract
- Pediatric patients with respiratory signs and symptoms who are found to be wheezing present a diagnostic dilemma to pediatricians. The majority of these cases are diagnosed as some degree of reactive airway disease, either as viral bronchiolitis or asthma. In this scenario, a patient with wheezing was initially given 2 courses of appropriate antibiotics on the basis of the duration and concurrence of other symptoms. However, he was subsequently referred to a pediatric pulmonologist for further workup after failure to improve and persistent oxygen saturations in the low-to-mid 90s. More extensive testing was completed by the pediatric pulmonologist, in addition to a short hospital admission. A rigid bronchoscopy was eventually completed, which revealed small pieces of partially digested material. Although his persistent cough resolved, his saturations continued to be suboptimal. A chest computed tomography scan with contrast was then completed, which eventually led to his diagnosis and appropriate treatment and resolution of his symptoms.
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Signs and symptoms
Diagnostic dilemma
Pulmonary Artery
Diagnosis, Differential
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Bronchoscopy
medicine
Persistent cough
Humans
Hypoxia
Asthma
Respiratory Sounds
Reactive airway disease
Lung
business.industry
Pulmonologist
medicine.disease
Embolization, Therapeutic
medicine.anatomical_structure
Cough
Bronchiolitis
Child, Preschool
Pediatrics, Perinatology and Child Health
Telangiectasia, Hereditary Hemorrhagic
business
Tomography, X-Ray Computed
Subjects
Details
- ISSN :
- 10984275
- Volume :
- 148
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Pediatrics
- Accession number :
- edsair.doi.dedup.....212d8894bde1eed39bc5fa17d46008e3