The Wheezing Infant: A Challenge in Evaluation and Diagnosis
| Autor: | Rodolfo Amaro-Galvez, Bettina C. Hilman |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Pulmonary and Respiratory Medicine
Pediatrics medicine.medical_specialty medicine.diagnostic_test business.industry Stridor Noisy breathing medicine.disease Birth history respiratory tract diseases Atopy Pediatrics Perinatology and Child Health medicine Immunology and Allergy Respiratory sounds medicine.symptom Respiratory system Age of onset business Asthma |
| Zdroj: | Pediatric Asthma, Allergy & Immunology. 16:237-246 |
| ISSN: | 1557-7767 0883-1874 |
| Popis: | The evaluation of the wheezing infant is a common clinical problem. Initially it is important to differentiate wheezing from "noisy breathing" due to stridor. By definition, wheezing is a prolonged or continuous musical adventitial lung sound of varying intensity due to the obstruction of the intrathoracic airways. In contrast, stridor is a high-pitched, loud respiratory sound caused by oscillations of narrowed large extrathoracic airways. Specific diagnostic criteria for asthma in infancy are not well-defined. Since wheezing is often associated with viral respiratory infections in infants, it is difficult to distinguish an initial episode of asthma triggered by a viral respiratory infection from acute viral bronchiolitis. The history is one of the most important components of the evaluation of the wheezing infant. Birth history, age of onset, history of maternal smoking, atopy, and clinical circumstances associated with the wheezing episodes may suggest a diagnosis other than asthma. Congenital anomalies... |
| Databáze: | OpenAIRE |
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