Beatriz Morillo
Bronchiolitis - Clinical Presentation
The most common clinical presentation is that of an infant with a 3-4 days history of prodromal symptoms - coryza, mild fever, decrease in fluid intake - followed by a progression to lower airway symptoms -cough, respiratory distress with tachypnoea, chest recessions and nasal flaring-. Some other manifestations can be apnoeas, specially early in the course of the disease and sometimes the only manifestation in younger infants, and hypothermia, most frequent in the first two months of life.
On examination, the child can appear from having a good general condition to being miserable or even lethargic, with a variable degree of severity in the respiratory symptoms: from mild tachypnoea to air hunger and dyspnoea, with chest recessions, nasal flaring and grunting. There can be fine rales, wheezes and decrease air entry on auscultation.

Bronchiolitis Bronchiolitis 02/13/2016
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