Pediatric emergency medicine trisk 1659 1659
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TABLE 84.3
MAJOR CAUSES OF WHEEZING WITH ASSOCIATED CLINICAL
FEATURES
Causes
Bronchiolitis
Associated clinical features
Age <2 yrs
Upper respiratory symptoms
November through March occurrence
Concurrent upper respiratory symptoms in close contacts
Asthma
Recurrent episodes
Family history of asthma
History of atopy
Upper respiratory symptoms
Environmental trigger (weather change, etc.)
Pneumonia
Upper respiratory symptoms
Fever
Unilateral wheezing/rales/decreased breath sounds
Foreign-body
Age >6 mo
aspiration
Choking episode associated with onset of symptoms
Abrupt onset or prolonged symptoms despite appropriate
therapy
Unilateral wheezing or decreased breath sounds
Intellectual disability
History of tracheal surgery/tracheostomy
Swallowing disorder, GE reflux
Anaphylaxis
Sudden onset
Accompanying urticaria, angioedema, stridor, or hypotension
New exposure or Hymenoptera envenomation
Congestive heart History of failure to thrive
failure/cardiac Heart murmur, hepatomegaly, poor perfusion
disease
Cardiomegaly
Cystic fibrosis History of failure to thrive
Recurrent respiratory tract infections
Steatorrhea
