WHEEZING

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How to Give A Good Clinical History

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If your child is Wheezing please print and answer these questions before seeing your clinician:

1.  Is this the first wheezing episode?                                         

2. Is the wheezing episodic or persistent? ( If recurrently episodic consider asthma)

3. Is there fever? (Consider bronchitis, pneumonia)

4. Did the child have a previous flu?                                                                           Consider post infection wheeze

5. Was there gagging, choking, or coughing when the wheeze started ?  (Rule out foreign body aspiration)

6. Are there trigger of the wheeze?  (Asthma has triggers like dust, pets, cold air)

7. Does the child have other allergies?  (Eczema, rashes, asthma)

8. Is there chronic cough, frequent pneumonia, bronchitis, or infection? (Rule out cystic fibrosis)

9. Are there other associated symptoms like failure to gain weight, muscle weakness, abdominal pain?

10. Was the child born premature or had mechanical ventilation at birth?

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