Acute Bronchiolitis

Front 1

What is the differences in the signs observed in a patient with a large airway versus a small airway obstruction, respectively ?

Back 1

Large:
1. Wheeze audible without stethoscope
2. Air trapping not prominent

Small:
1. Wheeze audible with stethoscope
2. Air trapping prominent

Front 2

What are the causes of large airway intrathoracic obstruction ?

Back 2

1. Asthma
2. Glandular obstruction
3. Foreign body
4. Congenital abnormalities

Front 3

What are the causes of small awirway intrathoracic obstruction ?

Back 3

1. Asthma
2. Viral bronchiolitis
3. Viral associated wheezing
4. Viral/Atypical bronchopneumonia
5. Aspiration pneumonia
6. Cardiac failure
7. Cystic fibrosis

Front 4

What are the causes of acute bronchiolits ?

Back 4

1. RSV
2. Adenovirus
3. Seldom if ever bacteria

Front 5

Discuss the clinical presentation of acute bronchiolitis ?

Back 5

1. Winter disease
2. Starts with rhinitis
3. Later starts with lower airway obstruction
4. Tachypnoea
5. High fever
6. Hyperinflation
7. Widespread crepitations and wheeze

Front 6

Which special investigations would you explore to confirm the diagnosis of acute bronchiolitis ?

Back 6

1. Chest x-ray
2. FBC
3. Blood cultures
4. Viral cultures
5. Blood gasses

Front 7

List the three major causes of aspiration pneumonia.

Back 7

1. Incoordination of swallowing
2. Tracheo-oesophageal fistula
3. GORD

Front 8

What is the clinical presentation of aspiration pneumonia ?

Back 8

1. Cough when drinking
2. Vomiting following feeds
3. Wheezing following feeds

Front 9

Which special investigations would you explore to confirm the diagnosis of aspiration pneumonia ?

Back 9

Barium swallow.