This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Clinical clues to alternative diagnoses in wheezy children

Authoring team

Clinical clues to alternative diagnoses in wheezy children (features not commonly found in children with asthma)

Perinatal and family history

Possible diagnosis

Symptoms present from birth or perinatal lung problem

Cystic fibrosis; chronic lung disease of prematurity; ciliary dyskinesia; developmental anomaly

Family history of unusual chest disease

Cystic fibrosis; neuromuscular disorder

Severe upper respiratory tract disease

Defect of host defence; ciliary dyskinesia

Symptoms and signs

Persistent moist cough

Cystic fibrosis; bronchiectasis; protracted bronchitis; recurrent aspiration; host defence disorder; ciliary dyskinesia

Excessive vomiting

Gastro-oesophageal refl ux (+/- aspiration)

Dysphagia

Swallowing problems (+/- aspiration)

Breathlessness with light-headedness and peripheral tingling

Hyperventilation/panic attacks

Inspiratory stridor

Tracheal or laryngeal disorder

Abnormal voice or cry

Laryngeal problem

Focal signs in chest

Developmental anomaly; post-infective syndrome; bronchiectasis; tuberculosis

Finger clubbing

Cystic fibrosis; bronchiectasis

Failure to thrive

Cystic fibrosis; host defence disorder; gastro-oesophageal reflux

Investigations

Focal or persistent radiological changes

Developmental anomaly; cystic fibrosis; post-infective disorder; recurrent aspiration; inhaled foreign body; bronchiectasis; tuberculosis

 

Reference:

  • (1) BTS/SIGN (May 2008). British Guideline on the Management of Asthma.

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.