Pediatrics

6 year old girl with shortness of breath

Shilpa Gulati on May 27, 2013

What medication regimen would you plan for your patient following discharge?

Expand all answers
Low dose inhaled corticosteroid daily
Low dose inhaled corticosteroid daily + long acting beta agonist + leukotriene receptor antagonist
Low dose inhaled corticosteroid daily + long acting beta agonist
Medium dose inhaled corticosteroid daily + long acting beta agonist
Medium dose inhaled corticosteroid daily + Theophylline prn
Theophylline is not indicated for acute exacerbations. http://www.med.umich.edu/1info/fhp/practiceguides/asthma/EPR-3_pocket_guide.pdf


What other exam finding in this patient is concerning?

Expand all answers
Reddened cheeks
Excema is a common finding in asthmatic patients


Enlarged tonsils
Concerning for OSA; patient should have a sleep study to screen for OSA, which may be contributing to her nighttime hypoxia


Bruises on her knees
Scleral injection

What medication regimen would you plan for your patient following discharge?

Expand all answers
Low dose inhaled corticosteroid daily
Low dose inhaled corticosteroid daily + long acting beta agonist + leukotriene receptor antagonist
Low dose inhaled corticosteroid daily + long acting beta agonist
Medium dose inhaled corticosteroid daily + long acting beta agonist
Medium dose inhaled corticosteroid daily + Theophylline prn
Theophylline is not indicated for acute exacerbations. http://www.med.umich.edu/1info/fhp/practiceguides/asthma/EPR-3_pocket_guide.pdf


What other exam finding in this patient is concerning?

Expand all answers
Reddened cheeks
Excema is a common finding in asthmatic patients


Enlarged tonsils
Concerning for OSA; patient should have a sleep study to screen for OSA, which may be contributing to her nighttime hypoxia


Bruises on her knees
Scleral injection

23,062  views

  1 like

  0 comments