4th Pediatric Infectious Diseases Conference
 
 
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Asthma in Children
ASTHMA IN CHILDREN
Dr C.T.Deshmukh
Professor of Pediatrics, K.E.M Hospital
Asthma Investigations
Asthma Investigations
Asthma Investigations
Continued...
Other Investigations for Asthma
Other Investigations:                                                                          
Other Investigations for Asthma
Other Investigations for Asthma
Hemogram : Leucocytosis may indicate infection, stress of severe asthma and can be seen in excessive use of epinephrine. Eosinophilia may not necessarily mean an allergic etiology.
Other Investigations for Asthma
A chest x-ray should be obtained at least once in any child with asthmatic symptoms sufficient to require hospitalization.
Other Investigations for Asthma
X ray of the sinuses when needed.
Other Investigations for Asthma
Sweat Test : Child who has had several exacerbations of asthma requiring in-hospital treatment or who has had a history of recurrent pneumonia should be considered a candidate for a sweat chloride test to rule out cystic fibrosis.
Other Investigations for Asthma
Children with recurrent wheezing who have repeated bronchopneumonia confirmed by x-ray film should have an immunologic evaluation, including quantitative immunoglobulins and possibly specific antibody titers.
Other Investigations for Asthma
The determination of specific IgE antibody by skin or in vitro tests is useful to evaluate potential allergic trigger factors in children with asthma or when a history suspicious of atopic etiology is obtained. Allergy testing in vitro or skin testing should be done in moderate to severe asthmatic.
Other Investigations for Asthma
Electrolytes: Hypokalemia due β 2 agonists.
Other Investigations for Asthma
Arterial blood gases are important when the patient is admitted with a severe exacerbation. The changes seen in asthma depends on the severity: Initial changes - PaO2 & .
Moderate severity - PaO2 & or normal PaCO2
Severe - PH, PaO2 & PaCO2
Other Investigations for Asthma
Eosinophil cationic protein (ECP) and eosinophil-derived neurotoxin (EDN) can be used in the diagnosis ad follow up of patients. The urinary concentration of eosinophil-derived neurotoxin can be especially valuable in young children, because in this age group quantification of lung function cannot be performed and blood sampling can be difficulty.

Asthma in Children
Asthma in Children
 
 
Educational Section
 
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