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Wheezing

Leo Leonidas MD, FAAP
6/29/2002

WARNING, WARNING, WARNING; This section is for my Tufts University medical students. If you are a "worrier" type or a very anxious parent, please talk to your clinician about your child's problem or symptoms, rather than reading this differential diagnosis.

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First Group

1. Asthma
2. Bronchiolitis
3. Heart Failure
4. Aspiration
Foreign body
Gastroesophageal reflux
Defective swallowing
5. Pneumonia
6. Upper Airway obstruction
7. Cystic fibrosis
8. Vascular ring
9. Aberrant Vessels
10. Tracheal or Bronchial Stenosis
11. Tracheal and Bronchial Tumor
12. Tracheoesophageal Fitula
13. Latex allergy (formula nipple) updated 13 July 2002

Second Group

1. Pulmonary vaculitis
2. Bronchomalacia
3. Tracheobronchomegaly
4. Lobar Emphsema
5. Sequestration
6. Alpha 1 antitrypsin deficiency
7. Visceral larva migrans
8. Mypersensitivity pneumonitis
9. Idiopathic pulmonary hemosiderosis
10. Bronchopulmonary dysplasia
11. Immune deficiency states
12. Fibrous mediastinitis
13. Immotile celia
14. Carcinoid tumors

Respiratory Noises Mimicking Wheezing

1. Laryngotracheobronchitis
2. Croup syndrome
3. Pertussis
4. Congenital malformation of lung
Hypoplasia
Cysts
A-V malformation
5. Neck injury
6. Hysteria
7. Salicylate intoxication

The most common causes of wheezing in children are asthma, bronchiolitis, allergy, and pneumonia.

In most instances physicians can diagnose the cause of wheezing and will prescribe medications. However, some children will need Chest X-ray to figure out what is the cause of wheezing.

Children with wheezing, poor weight gain, diarrhea, and frequent pneumonia, Cystic Fibrosis should be considered.

With good clinical history including detailed environmental questions and Chest-ray, most causes of wheezing in children can be discovered.

Table of Contents

Belly Pain   Air Leaks From Lungs   Acute Crying   Back Pain   Bed Wetting   Big Lymph Node   Big Spleen   Blood in Urine Chronic Diarrhea   Chest Pain   Cough   Coughing Up Blood   Constipation Droopy Eye   Enlarged Glands   Eye Swelling   Excessive Thrist   Facial Paralysis   Fainting Spell   Feeding Problem GI Bleeding   Headache   Head Tilt   Hives   High ESR   Hoarseness   Joint Pain   Limp   Leg Pain   Muscle Weakness   Noisy Breathing   Nose Bleeding   Nose Obstruction   Pyuria   Recurrent Infection   Red Green Urine   Ringing in the Ears Scrotal Swelling     Seizures   Stiff Neck   Swelling of the Parotic Gland   Toe Walking   Toeing In   Toeing Out   Unequal Pupils   Vomiting   Wheezing


Leo Leonidas, MD, FAAP

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