BRONCHIOLITIS Flashcards

1
Q

What is bronchiolitis

A

Lower respiratory tract infection involving bronchiole inflammation caused by RSV

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2
Q

Risk factors

A

Age<2yrs
Preterm infants <32wks
Congenital heart diseases/ lung diseases
Immunodeficiency
Winter

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3
Q

Causes of bronchiolitis

A

Respiratory Syncytial Virus (RSV) (Most common)
Adenovirus
Mycoplasma
Parainfluenza (Least common)

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4
Q

Clinical manifestations of bronchiolitis

A

Hypoxemia
Hypercapnea
Tachypnea
Cyanosis
Nasal flaring
Atelectasis
Prolonged expiration (wheezing)
Fine end inspiratory crackles
Hyperinflated lungs
Respiratory acidosis
Subcostal & Intercostal retraction on chest
Nasal congestion
Rhinorrhea
Dry wheezy cough
Some Edema
Large chest circumference

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5
Q

Complications

A

Air trapping
Respiratory Failure

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6
Q

Diagnosis

A

Chest X-ray
- hyperinflation
- atelectasis
- interstitial infiltrates
- peribronchial thickening
Prominent sternum
Displaced liver (downward)

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