Professional Documents
Culture Documents
Clinical syndromes:
fast breathing, breathing difficulties,
retractions, wheezing, poor feeding, cough,
irritability, (very young) apnoe.
Pathology
3
Necrosis
Pathophysiology
4
Etiology
6
Predominantly
95%
Other
viruses :
Human
metapneumovirus
Rhinovirus
Adenovirus
Influenza virus
Parainfluenza virus
Entero virus
medical condition
Group A RSV strain
Age < 3 mo
Diagnosis
8
Etiological
diagnosis
Microbiologic examination (viral culture)
Clinical diagnosis
Signs and symptoms
Age
Resource of infection epidemic of RSV
Laboratory finding
Radiological examination
Clinical Manifestation
9
Mild rhinorrhea
Cough
Fast breathing
Low-grade fever
Cyanosis
Grunting
Chest retraction
Wheezing
Irritable
Vomitus
Poor intake
Physical Examinations
10
Tachypnea
Tachycardia
Retraction
Prolonged expiration
Wheezing
Fever
Mild conjunctivitis
Pharyngitis
Radiologic examination
11
Diffuse
hyperinflation
Patchy infiltrates
Flat diaphragm
Intercostal space >
Retrosternal space > (lateral view)
Peribronchial infiltrates / thickening
Atelectasis segmental collapse
12
Laboratory Finding
13
Microbiologic
examination
WBC : 5000 24.000 cells/mm3, predominantly
PMN & bands
Blood Gas Analysis
Arterial saturation
pCO2
Mild respiratory alkalosis
Metabolic acidosis
Acute respiratory acidosis
14
Respiratory
Differential Diagnosis
15
Asthma
Pneumonia
Acute Bronchitis
Congestive Heart Failure
Pulmonary Edema
Management
16
Mild
treated at home
Moderate / severe disease :
Hospitalization
Support :
Oxygen
Intra venous fluid drip (antibiotics)
Detect & treat possible complication
Prevent the spread of infection
17
Controversial
:
Bronchodilator
Corticosteroid
Antiviral
Antibiotic
2 Agonist
18
Corticosteroid
19
clinical scores
Result :
Corticosteroid
20
Clinical score :
Wheezing
SaO2
Accessory muscle use
RR
Conclusion :
Benefits depend on severity and initiation of
treatment
21
Prognosis
22
Control 1% asthma
OR : 28; 90% CI 4-1235
(Garrison et al. 2000 after Sigurs et al. 1995)
23
24