Respiratory distress / Cough

Anaphylaxis
Asthma
Bronchiolitis
Congestive heart failure
Croup
Cystic fibrosis
Epiglottitis
Foreign body
Pertussis
Pneumonia
Status asthmaticus
Tracheitis

  • Describe the anatomy and physiology of the respiratory system and relate them to the respiratory physical exam
  • Describe the differences between upper and lower airway conditions and their clinical manifestations
  • Describe the physiology of restrictive and obstructive lung disease
  • Describe the pathophysiology of infectious and non-infectious respiratory conditions
  • Identify symptoms and signs of respiratory disease and recognize adventitious sounds
  • Name and classify pathogens that cause respiratory disease in children
  • Describe basic principles of pharmacology used in the management of common respiratory conditions

Overview & Foundational Knowledge

Cohen L. Stridor and upper airway obstruction in children.  Pediatrics in Review 2000; 21(4): 4-5.

Overview of upper airway of obstruction.

Snyder J & Fisher D. Pertussis in childhood.  Pediatrics in Review 2012; 33 (9): 412-421.

Overview of pertussis.

Montgomery GS & Howenstine M. Cystic Fibrosis.  Pediatrics in Review 2009; 30(8): 302-310.

Overview of Cystic Fibrosis.

Madriago E & Silberbach M. Heart failure in infants and children.  Pediatrics in Review 2010; 31(1): 4-12.

Overview of congestive heart failure in children.

Clinical Resources

Managing the paediatric patient with an acute asthma exacerbation

http://www.cps.ca/en/documents/position/management-acute-asthma-exacerbation

http://www.cps.ca/fr/documents/position/prise-en-charge-exacerbation-aigue-asthme

Canadian Paediatric Society Position Standard (2012) Outlines management of acute asthma exacerbation. *This is recommended as a MUST READ resource*

Kovesi T, Schuh S, Spier S, Bérubé D, Carr S, Watson W & McIvor RA. Achieving control of asthma in preschoolers. CMAJ 2010; 182 (4): E172-184.

Outlines chronic management of asthma. *This is recommended as a MUST READ resource*

Pneumonia in healthy Canadian children and youth: Practice points for management

http://www.cps.ca/en/documents/position/pneumonia-management-children-youth

http://www.cps.ca/fr/documents/position/pneumonie-prise-en-charge-enfants-adolescents

Canadian Paediatric Society Practice Point (2011) Outlines etiology, clinical presentation, investigation and management of community acquired pneumonia. *This is recommended as a MUST READ resource*

Bronchiolitis: Recommendations for diagnosis, monitoring and management or children one to 24 months of age.

http://www.cps.ca/en/documents/position/bronchiolitis1

http://www.cps.ca/fr/documents/position/bronchiolitis

Canadian Paediatric Society Position Standard (2014)

Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis. Pediatrics 2014; 134(5): e1474–e1502.

American Academy of Pediatrics Practice Guideline.

Emergency treatment of anaphylaxis in infants and children.

http://www.cps.ca/en/documents/position/emergency-treatment-anaphylaxis

http://www.cps.ca/fr/documents/position/traitement-urgent-anaphylaxie

Canadian Paediatric Society Position Standard (2011) Outlines clinical presentation and management of anaphylaxis. *This is recommended as a MUST READ resource*

Virtual Patients or Cases

Child with respiratory distress.

http://www.youtube.com/watch?v=sJLHiTaXrtc

Video with good visual representation of severe respiratory distress.

Seal bark baby with respiratory distress.

http://www.youtube.com/watch?v=KnxwA1XE3HU

Video with excellent audio of croup cough. Visual of lesser quality but demonstrates respiratory distress.

Clinical examples of pertussis.

http://www.youtube.com/watch?v=dZ5jf-5MobE

Video demonstrates pertussis. Audio is good, video of lesser quality

Children’s Hospital Cleveland Clinic: Pediatric Radiology Image Gallery

https://www.cchs.net/pediatricradiology/imagegallery/default.asp

Image gallery of pediatric radiology; can be navigated by body system or by topic. Images labeled by presentation. On reviewing image, you can select to have findings highlighted as well as diagnosis provided.

Clinical Presentations