Acute dyspnea (peds) - Revision history

Danbot: Add verified PubMed references (PMIDs 15790016, 16353650)

2026-03-22T10:44:40Z

Add verified PubMed references (PMIDs 15790016, 16353650)

← Revisión anterior		Revisión del 10:44 22 mar 2026
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	{{PediatricPage\|acute dyspnea}}		{{PediatricPage\|acute dyspnea}}
	==Background==		==Background==
	*Breathing complaints are among the most common reasons for pediatric ED visits		*Breathing complaints are among the most common reasons for pediatric ED visits<ref>Gehri M, et al. [Acute dyspnea in children]. Rev Med Suisse. 2005 Feb 16;1(7):486-90. PMID 15790016</ref>
	*Infants and children have higher predisposition to respiratory failure relative to adults		*Infants and children have higher predisposition to respiratory failure relative to adults
	**Higher resting metabolic rate requires more oxygen		**Higher resting metabolic rate requires more oxygen
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	===Key Physical Exam Findings by Etiology===		===Key Physical Exam Findings by Etiology===
	*'''Stridor''': upper airway obstruction ([[croup]], [[epiglottitis]], foreign body, [[anaphylaxis]])		*'''Stridor''': upper airway obstruction ([[croup]], [[epiglottitis]], foreign body, [[anaphylaxis]])<ref>Fallot A. Respiratory distress. Pediatr Ann. 2005 Nov;34(11):885-91; quiz 893-4. PMID 16353650</ref>
	*Wheezing: lower airway disease ([[bronchiolitis]], [[asthma]], foreign body)		*Wheezing: lower airway disease ([[bronchiolitis]], [[asthma]], foreign body)
	*Crackles: pneumonia, pulmonary edema, bronchiolitis		*Crackles: pneumonia, pulmonary edema, bronchiolitis

Danbot: Strip excess bold

2026-03-22T09:31:52Z

Strip excess bold

← Revisión anterior		Revisión del 09:31 22 mar 2026
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	===Key Physical Exam Findings by Etiology===		===Key Physical Exam Findings by Etiology===
	*'''Stridor''': upper airway obstruction ([[croup]], [[epiglottitis]], foreign body, [[anaphylaxis]])		*'''Stridor''': upper airway obstruction ([[croup]], [[epiglottitis]], foreign body, [[anaphylaxis]])
	*~~'''~~Wheezing~~'''~~: lower airway disease ([[bronchiolitis]], [[asthma]], foreign body)		*Wheezing: lower airway disease ([[bronchiolitis]], [[asthma]], foreign body)
	*~~'''~~Crackles~~'''~~: pneumonia, pulmonary edema, bronchiolitis		*Crackles: pneumonia, pulmonary edema, bronchiolitis
	*~~'''~~Absent breath sounds~~'''~~: [[pneumothorax]], large [[pleural effusion]], severe bronchospasm		*Absent breath sounds: [[pneumothorax]], large [[pleural effusion]], severe bronchospasm
	*~~'''~~Barking cough~~'''~~: [[croup]]		*Barking cough: [[croup]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	===Condition-Specific===		===Condition-Specific===
	*~~'''~~[[Croup]]~~'''~~: [[dexamethasone]] PO/IM, racemic [[epinephrine]] nebulized for moderate-severe		*[[Croup]]: [[dexamethasone]] PO/IM, racemic [[epinephrine]] nebulized for moderate-severe
	*~~'''~~[[Bronchiolitis]]~~'''~~: supportive care (suctioning, oxygen), high-flow nasal cannula if needed		*[[Bronchiolitis]]: supportive care (suctioning, oxygen), high-flow nasal cannula if needed
	*~~'''~~[[Asthma]]~~'''~~: [[albuterol]], [[ipratropium]], systemic [[corticosteroids]]; consider [[magnesium sulfate]] for severe		*[[Asthma]]: [[albuterol]], [[ipratropium]], systemic [[corticosteroids]]; consider [[magnesium sulfate]] for severe
	*~~'''~~[[Pneumonia]]~~'''~~: antibiotics based on age and severity		*[[Pneumonia]]: antibiotics based on age and severity
	*~~'''~~[[Foreign body aspiration]]~~'''~~: if complete obstruction, follow BLS choking algorithm; bronchoscopy for partial obstruction		*[[Foreign body aspiration]]: if complete obstruction, follow BLS choking algorithm; bronchoscopy for partial obstruction
	*'''[[Epiglottitis]]''': minimize agitation, call anesthesia/ENT, OR for controlled intubation		*'''[[Epiglottitis]]''': minimize agitation, call anesthesia/ENT, OR for controlled intubation
	*~~'''~~[[Pneumothorax]]~~'''~~: [[needle decompression]] followed by [[chest tube (peds)\|chest tube]]		*[[Pneumothorax]]: [[needle decompression]] followed by [[chest tube (peds)\|chest tube]]

	==Disposition==		==Disposition==

Danbot: Expanded with EM-focused content: signs of respiratory failure, evaluation strategy, condition-specific management, disposition

2026-03-20T23:25:01Z

Expanded with EM-focused content: signs of respiratory failure, evaluation strategy, condition-specific management, disposition

@@ Línea 1: / Línea 1: @@
 {{PediatricPage|acute dyspnea}}
 ==Background==
-*Breathing complaints common in pediatrics
+*Breathing complaints are among the most common reasons for pediatric ED visits
-*Infants/children have higher predisposition to respiratory failure relative to adults
+*Infants and children have higher predisposition to respiratory failure relative to adults
 **Higher resting metabolic rate requires more oxygen
-**Anatomical differences (e.g. smaller diameter airways) predispose to respiratory failure
+**Anatomical differences (e.g. smaller diameter airways) predispose to respiratory failure — 1mm of edema causes 60% reduction in cross-sectional area in an infant vs. 20% in an adult
-**Vast majority of pediatric cardiac arrests are secondary to respiratory problem
+**Cartilaginous rib cage with less respiratory reserve
-*Included here are other respiratory chief complaints, such as tachypnea, irregular breathing, abnormal respiratory sounds or appearance, cyanosis, which parents may have noticed
+**Obligate nose breathers until approximately 6 months of age
 ==Clinical Features==
-==Differential diagnosis==
+===Signs of Respiratory Failure===
 {{Pediatric SOB DDX}}
 ==Evaluation==
 ==Management==
 ==Disposition==
 ==See Also==
-*[[SOB]]
+*[[Acute dyspnea]]
 *[[Intubation (peds)]]
 *[[Neonatal RSI]]
 *[[PALS]]
 ==External Links==
 ==References==
 <references/>
 [[Category:Pediatrics]]

Ostermayer at 17:42, 17 January 2026

2026-01-17T17:42:49Z

← Revisión anterior		Revisión del 17:42 17 ene 2026
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	{{~~Peds top~~}} ~~[[acute dyspnea]].''~~		{{PediatricPage\|acute dyspnea}}
	==Background==		==Background==
	*Breathing complaints common in pediatrics		*Breathing complaints common in pediatrics

ClaireLewis: /* See Also */

2022-03-16T05:57:31Z

Rossdonaldson1 at 16:08, 1 July 2020

2020-07-01T16:08:59Z

← Revisión anterior		Revisión del 16:08 1 jul 2020
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			{{Peds top}} [[acute dyspnea]].''
	==Background==		==Background==
	*Breathing complaints common in pediatrics		*Breathing complaints common in pediatrics

Rossdonaldson1: Rossdonaldson1 moved page Shortness of breath (peds) to Acute dyspnea (peds)

2020-07-01T16:08:29Z

Rossdonaldson1 moved page Shortness of breath (peds) to Acute dyspnea (peds)

← Revisión anterior	Revisión del 16:08 1 jul 2020
(Sin diferencias)

ClaireLewis: /* See Also */

2019-10-23T13:59:08Z

Rossdonaldson1: /* Differential diagnosis */

2019-10-22T22:29:00Z

Differential diagnosis

@@ Línea 10: / Línea 10: @@
 ==Differential diagnosis==
-===Pulmonary/airway===
+{{Pediatric SOB DDX}}
 ==Evaluation==

ClaireLewis: /* Differential diagnosis */

2019-09-14T18:58:37Z

Differential diagnosis

← Revisión anterior		Revisión del 18:58 14 sep 2019
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	===Cardiac===		===Cardiac===
	*[[ Congenital heart disease]]		*[[Congenital heart disease]]
	*[[Vascular ring]]		*[[Vascular ring]]
	*[[Pericardial effusion and tamponade\|Cardiac tamponade]]		*[[Pericardial effusion and tamponade\|Cardiac tamponade]]
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	===Other diseases with abnormal respiration===		===Other diseases with abnormal respiration===
	*Normal neonatal periodic breathing (misinterpreted by caregivers as abnormal)		*Normal neonatal periodic breathing (misinterpreted by caregivers as abnormal)
	*[[ Brief resolved unexplained event]]		*[[Brief resolved unexplained event]]
	*[[Anemia]]		*[[Anemia]]
	*Abdominal distension (e.g. [[SBO]], [[liver failure]]		*Abdominal distension (e.g. [[SBO]], [[liver failure]]

← Revisión anterior		Revisión del 05:57 16 mar 2022
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	==See Also==		==See Also==
	*[[SOB]]		*[[SOB]]
			*[[Intubation (peds)]]
	*[[Neonatal RSI]]		*[[Neonatal RSI]]
	*[[PALS]]		*[[PALS]]

← Revisión anterior		Revisión del 13:59 23 oct 2019
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	==See Also==		==See Also==
			*[[SOB]]
			*[[Neonatal RSI]]
			*[[PALS]]

	==External Links==		==External Links==