Wheeze is continouse inspiratory musical sound

1. Wheeze in pediatrics
Prepared by :
Lezan Ibrahim Hamad amin
Supervisor :
Dr.dawan dlshad

2. What isWheezing?
Wheezing is a high-pitched whistling sound that
occurs when breathing. It is caused by narrowed
or obstructed airways. Wheezing is common in
children and can be a sign of several respiratory
conditions. Understanding the causes and
symptoms of wheezing is the first step in
effective diagnosis and management.

3. Causes of Wheezing
Wheezing can be caused by several
factors, including asthma,
bronchiolitis, pneumonia, and
allergies. Other causes include ,
foreign body aspiration ,
cystic fibrosis, GERD, and vocal
cord dysfunction. Understanding the
underlying cause of wheezing is crucial
for effective treatment.

4. Diagnosing Wheezing
Diagnosing wheezing involves a combination of
physical examination, medical history, and
diagnostic tests. These may include lung
function tests, chest x-rays, and allergy tests.
Accurate diagnosis is essential for effective
treatment and management of wheezing.

5. Managing Wheezing
Managing wheezing involves a
combination of medication, lifestyle
changes, and ongoing monitoring.
Medications may include
bronchodilators, corticosteroids, and
leukotriene modifiers. Lifestyle
changes may include avoiding
triggers, maintaining a healthy
weight, and staying active. Ongoing
monitoring is important to ensure
effective management of wheezing.

6. Asthma
Asthma is the most common cause of
wheezing in children. It is a chronic respiratory
disease characterized by airway inflammation,
bronchoconstriction, and
hyperresponsiveness. Symptoms include
wheezing, coughing, and shortness of breath
investigation :
1-cbc eosinophilia in a range of 15% to 20%
2-eosinophilia in bronchial mucosa strongly
suggest of asthma
3-allergic test
4-pulse oximeter
5-ABGs
6-PFT: for children below 6
7-CXRAY

7. Asthma Management
Asthma is a chronic respiratory condition that
requires ongoing management. Effective
asthma management involves identifying
triggers, taking medications as prescribed, and
monitoring symptoms. Asthma action plans can
help guide management and ensure prompt
treatment of asthma attacks.

8. Bronchiolitis
Bronchiolitis is a viral infection that affects the
lower respiratory tract. Symptoms include
wheezing, coughing, and fever
More common in male , note being breast feed
and crowded area .
investigation:
1-CXRAY
2-CBC
3-VIRAL TEST
4-BLOOD GAS ANALYSIS

9. Bronchiolitis Management
. Management of bronchiolitis involves
supportive care, such as ensuring adequate
hydration and oxygenation.
In severe cases, hospitalization may be
necessary. Prevention through vaccination and
good hygiene practices is key to reducing the
risk of bronchiolitis.

10. Pneumonia
Pneumonia can cause wheeze in pediatrics.
which is a bacterial or viral infection of the
lungs Characteristic by cough wheeze and
fever and changes according to the cause
Diagnosis is based on clinical history, physical
examination, and radiographic findings.
Investigation:
1-WBC
2-Blood culture for bacterial cause
3-CXRAY
4-thoracosentesis
5-CT: to evaluate serious disease such as pleural
abscess ,bronchiectasis , pleural effusion

11. Pneumonia Management
Management of pneumonia involves
antibiotics, rest, and supportive care.
In severe cases, hospitalization may
be necessary.
Prevention through vaccination and
good hygiene practices is key to
reducing the risk of pneumonia.

12. Allergy Management
Allergies can trigger wheezing in some
children. Management of allergies
involves identifying triggers and
avoiding exposure. Medications, such as
antihistamines and nasal
corticosteroids, may also be used. In
severe cases, allergy shots may be
recommended.

13. Foreign BodyAspiration
Foreign body aspiration occurs when
a child inhales an object, such as a toy
or food, into the airway . mostly into
the right side .
This can cause wheezing, coughing,
and choking.
Diagnosis is made through imaging
studies andbronchoscopy.

14. Treatment
ABC
IF CONsCIUS :HEIMLICH MANUOVER
FB removed back blow or chest thrusts
IF unconscious :100% oxygen through the
mask, rigid bronchoscopy and object
removed

15. Thanks!