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Virtual Pediatric Hospital: Paediapaedia: Approach to Cough and Wheezing Paediapaedia: Chest Clinical and Radiographic Presentations, DDX, Approach to Imaging

Approach to Cough and Wheezing

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


DDX:

Approach/Discussion:
PA and lateral views of the chest are the best way to distinguish between the various causes.

A foreign body in the airwya will have a variable appearance, depending on whether the foreign body is completely or partially obstructing the airway. Classically the foreign body will cause air trapping on expiration.

A bacterial pneumonia as will appear as an area of consolidation, perhaps with a pleural effusion.

A viral pneumonia will appear as a hyperinflated chest, perhaps with patchy areas of atelectasis.

Asthma will appear as a hyperinflated chest, perhaps with patchy areas of atelectasis and pneumomediastinum.

References:
See References Chapter.

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