0 Bronchiolitis

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Bronchiolitis

  • Inflammatory obstruction of small airways
  • Usually < 2years ( mostly at 6 months )
  • Viral infection : RSV ( 50% cases)

Risk factors :
  • Top feed ( Breast milk is protective as it has IgA against RSV )
  • Smoking mothers
Clinical features :
  • Viral prodorme
  • Wheezing

 Note :
  • Wheezing in < 2year old - think Bronchiolitis
  • Wheezing in Adults - think Asthma.

Chest X-Ray : Hyperinflation.

Drug of choice : Humidified Oxygen. ( Antibiotics are not used )



Q. When is Ribavirin used and when is Palivizumab used in cases of Bronchiolitis? 

Answer : When associated with
  1. Cyanotic congenital heart disease - Use Ribavirin or Palivizumab
  2. Chronic Lung disease patients (Preterm - Bronchopulmonary hypoplasia) - Use Palivizumab




MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel

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