By vgreene, 17 November, 2016 Urgent rigid bronchoscopy indicated on hx alone to dx and remove FB (BTS1)
By vgreene, 17 November, 2016 Consider CXR for LRTI signs, true hemoptysis (eg, not nose bleeds), unusual course (eg, relentlessly ↑frequency/severity >2-3wk, recurrent fever), or signs of chronic lung dz (eg, digital clubbing, FTT) (BTS1)
By vgreene, 17 November, 2016 Abx not recommended for acute bronchitis, even w/ green sputum, in absence of pneumonia (BTS1)
By vgreene, 17 November, 2016 Viral resp infxns are important trigger for asthma exacerbations (NIH/NHLBI3); asthma suggested by wheeze assoc w/ cough; bronchodilators not effective in nonasthmatic pts (BTS1)
By vgreene, 17 November, 2016 Bronchiolitis suggested by infant presenting during RSV season (BTS1); dx bronchiolitis in
By vgreene, 17 November, 2016 Pneumonia suggested by fever (esp >4-5 days), localized signs (eg, crackles, dull percussion), tachypnea, resp distress, absence of stridor, or wheeze; CXR not always needed but useful for uncertain dx or severe cases (BTS1)
By vgreene, 17 November, 2016 Educate parents re natural hx of cough: significant minority take 3-4wk to resolve; no need for repeat visit if cough improving and no warning sx (eg, fever, tachypnea) (BTS1)
By vgreene, 17 November, 2016 Pertussis suggested by paroxysmal cough w/ or w/o whoop, even in immunized pts; posttussive vomiting is common; tx w/ macrolides in first 1-2wk; also consider pertussis w/ any cough >2wk (BTS1). Strongly consider tx awaiting test results if clinical pictu
