Condition Info - BotMed Application

ConditionName

Bronchiolitis (RSV)

ConditionDescription

Symptoms

onset over 48 h; fever, rhinorrhea, cough
Copious nasal secretion
Wet cough
Fever
Poor feeding
Wheezing or noisy breathing

PhysicalFindings

wheezing, tachypnea, tachycardia, shallow breathing, respiratory distress, use of accessory muscle of respiration, nasal flaring, cyanosis
Tachypnea
Expiratory wheezing
Crackles
Hyper Resonance on percussion

ClinicalTests

WBC with dif. (5000-24000/mm3)
Chest xRay:
Air trapping
Patchy perihilar infiltrates

RiskFactors

child < 2 yo most often, passive smoke exposure
RSV
Influenza
Parainfluenza type 3
Adenovirus
Metapneumovirus

IsRedFlag

IsNPLEX

Consequence

Copious nasal secretion
Wet cough
Fever
Poor feeding
Wheezing or noisy breathing
Respiratory distress
Nasal flaring, grunting
Possible apnea or cyanotic episodes
Pneumonia

ProgressionFromCondition

RSV, bacterial infection, viral infection cause inflammation of distal bronchioles

TreatmentOptions

Supportive therapy
Oxygen supplementation as needed
IV hydration as needed
Treatment of bronchiolitis is supportive, and most children can be managed at home with hydration and comfort measures.
Steroids are NOT effective!

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/pediatrics/respiratory-disorders-in-young-children/bronchiolitis?query=Bronchiolitis