Paediatric-History taking & Physical examination of Asthma

Paediatric-History taking & Physical examination of AsthmaCreated OnApril 24, 2020Last Updated OnApril 24, 2020byadmin You are here: Main Clinical Examination Paediatric-History taking & Physical examination of Asthma < All Topics Table of Contents Clinical features including history taking and physical examination not to miss: Clinical features Age >3 years Coughing (night time) Wheezing Shortness of breath Rapid breathing Chest tightness History taking Frequency Severity Current symptoms Family history of asthma and allergy Exacerbating factors; Viral infection Exposure to allergens Irritants (smoke, strong odors, fume) Exercise Emotions Change in weather/humidity Rhinosinusitis Gastroesophageal reflux NSAIDs (aspirin) Previous and current medication Response to prior treatment Respiratory tract infection Impact of asthma on lifestyle Previous hospitalisation/ICU/intubation Allergy history Physical activity Home and school environment Physical examination (depending on severity of asthma) General examination: Agitation Unable to speak Sitting in tripod position Sweating Atopic disease – eczema/allergic rhinitis Nasal polyp / hypertrophic turbinate Tachycardia Eczema/dry skin Respiratory system: Cyanosis Tachypnea Pulsus paradoxus Accessory muscles use Harrison/s sulci Hyperinflated chest Cough Prolonged expiratory phase Reduced chest movement Decrease air entry Wheezing Taken from Doctrina Perpetua guides on Paediatric

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