Short cases in Respiration: in paediatrics-final MBBS
Nearby spacer/MDI/ DPI
3. Pleural effusion with some respiratory
distress probably a child who is
recovering from DHF.
Why recovering from DHF?
Recovery rash, flushing, 2
cannula either side
Why respiratory distress?
Tachypnea. So COUNT RR/HR
Respiration short cases
Complications: FTT/ HF
1. Upper airway: stridor
2. Lower airway: U/L or B/L diffuse or
3. Pleural effusion
4. Systemic: Pleural effusion in DHF pt
who is recovering (NOT just dengue
Eczema → BA
If clubbing + → can’t be BA. May be
bronchiectasis/ chr lung Dx
Features of hyperinflation (→bronchiolitis)
1. Barrel shaped chest
2. Hyper-resonant over the liver
3. Hyper-resonant over the heart
Severity: Effort, Efficacy, Effects
2. Respiratory rate
5. Accessory muscles use
6. Flare of Alea nasi
1. Air entry – silent chest is a dangerous
2. Chest expansion
3. Cyanosis, hypoxia (pulse oxymeter,
1. CNS -Drowsy, agitation
2. CVS – Pallor, bradycardia, tachycardia.
Why do you say this is severe asthma?
1. Moderately severe bronchiolitis in a
child with FTT.
2. BA with mild distress in a child
probably with persistent asthma who
has an eczema as well.