4th Pediatric Infectious Diseases Conference
 
 
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Asthma in Children
ASTHMA IN CHILDREN
Dr C.T. Deshmukh
Professor of Pediatrics, K.E.M Hospital
Pointers To Asthma Diagnosis
Pointers To Asthma Diagnosis
Pointers To Asthma Diagnosis
Pointers To Asthma Diagnosis
Pointers to Asthma Diagnosis:                                                           
Pointers To Asthma Diagnosis
Pointers To Asthma Diagnosis
History:

Cough (especially in night)

Recurrent wheeze (absence does not rule out diagnosis)

Recurrent dyspnea

Recurrent chest tightness

All above complaints are classically episodic, nocturnal, seasonal and exertional atopy.
Pointers To Asthma Diagnosis
Precipitating or aggravating with specific factors:

Airborne chemicals or dusts

Animals with fur or feathers

Changes in weather

Exercise

House dust mites (mattresses, upholstery, carpets)

Menses

Nighttime

Pollen

Smoke (tobacco, wood)

Strong emotional expression (laughing, crying)

Viral infection
Pointers To Asthma Diagnosis
Reversibility and variability:

Variations in PEFR during the day (>=20%)

Reversible symptoms with treatment

If all or some of above present, confirm diagnosis by spirometry and response to bronchodilator drugs. If response is good, asthma is most probable and assess severity and give appropriate medications. If response is not good consider other diagnosis or check compliance of anti asthma drugs.

Asthma in Children
Asthma in Children
 
 
Educational Section
 
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