CM Pediatric Asthma Exam @ 2024
Most common chronic disease in children 0-17 years?
asthma
T/F: Asthma disproportionately affects socioeconomically disadvantaged children
True
Asthma; definition
episodic, reversible lower airway obstruction
Key components of pathophysiology of asthma
bronchial smooth muscle constriction
inflammation
increased airway secretions
and airway remodeling over time
CP: Asthma
chest tightness
shortness of breath
coughing
wheezing
Acute asthma attack sx?
cough; dry and hacking
wheeze; expiratory
prolonged expiratory phase
chest tightness
activity intolerance
anxiety
, tachypnea
retractions
nasal flaring
tripod sitting
decreased breath sounds
anxiety replaced by lethargy
What is the clinical diagnosis of asthma based on?
History and examination
What are some common features of asthma?
Recurrent episodes, symptoms at night, triggered by URI, exercise, etc., improved with
SABA
What is a common characteristic in the medical history of asthma patients?
History of atopy
A child presents with wheezing in the first months of their live.. using CRADLE, what are
your ddx?
Cystic fibrosis
Respiratory tract infection
Aspiration/GERD
Dyskinetic cilia
Lung/airway malformation
Edema/congenital heart disease
or asthma
A child presents with wheezing and they are between age 1-4, what are your ddx?
Cystic fibrosis
Most common chronic disease in children 0-17 years?
asthma
T/F: Asthma disproportionately affects socioeconomically disadvantaged children
True
Asthma; definition
episodic, reversible lower airway obstruction
Key components of pathophysiology of asthma
bronchial smooth muscle constriction
inflammation
increased airway secretions
and airway remodeling over time
CP: Asthma
chest tightness
shortness of breath
coughing
wheezing
Acute asthma attack sx?
cough; dry and hacking
wheeze; expiratory
prolonged expiratory phase
chest tightness
activity intolerance
anxiety
, tachypnea
retractions
nasal flaring
tripod sitting
decreased breath sounds
anxiety replaced by lethargy
What is the clinical diagnosis of asthma based on?
History and examination
What are some common features of asthma?
Recurrent episodes, symptoms at night, triggered by URI, exercise, etc., improved with
SABA
What is a common characteristic in the medical history of asthma patients?
History of atopy
A child presents with wheezing in the first months of their live.. using CRADLE, what are
your ddx?
Cystic fibrosis
Respiratory tract infection
Aspiration/GERD
Dyskinetic cilia
Lung/airway malformation
Edema/congenital heart disease
or asthma
A child presents with wheezing and they are between age 1-4, what are your ddx?
Cystic fibrosis
