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Bronchiolitis

Dennis E Hughes, DO FACEP Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Inflammation and obstruction of small airways and reactive airways generally affecting infants and young children—upper respiratory infection (URI) prodrome followed by increased res...

DIAGNOSIS

History and physical examination should be the basis for the diagnosis of bronchiolitis; ancillary testing only indicated if clinical picture is unclear (no single of group of tests confirma...

TREATMENT

The cornerstone of therapy is supportive to include upper airway suctioning, prevention of significant and prolonged hypoxia, and dehydration. The other interventions noted have historically...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Hospitalization is usually required only if oxygen is a requirement or unable to feed/drink.

  • For a hospitalized patient, monitor as needed depend...

REFERENCES

1
Ralston  SL, Lieberthal  AS, Meissner  HC, et al. Ralston SL, Lieberthal AS, Meissner HC, et al. Clinical practice guideline: the diagnosis, management, and prevent...

ADDITIONAL READING

  • Chandelia S, Kumar D, Chadha N, Jaiswal N. Magnesium Sulfate for treating bronchiolits for children up to two years of age. Cochrane Database Syst Rev. 2020 Dec...

CODES

ICD10

  • J21.9 Acute bronchiolitis, unspecified

  • J21.0 Acute bronchiolitis due to respiratory syncytial virus

  • J21.8 Acute bronchiolitis due to other specified organisms

  • J21.1 Acute bronchiolitis due to ...

CLINICAL PEARLS

  • Bronchiolitis is the leading cause of hospitalizations in infants and children—especially <3 months of age.

  • Diagnosis is a clinical one of children in the first 2 years of life, asso...

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