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Paediatric Infectious Diseases and Neurological Emergencies

C1.2 Child A Child with Sudden Wheezing

Dr Kitty YK Law
Honorary Clinical Assistant Professor, Department of Paediatrics,
The Chinese University of Hong Kong

Dr Kitty YK Law obtained MBBS from the University of Hong Kong and received her post-graduate training in Queen Elizabeth Hospital. Her special interest is Paediatric pulmonology and sleep medicine.

Now Dr Law is working in a private clinic. She also provide on-site 24-hour Paediatric and neonatal services in Union Hospital and Baptist Hospital. She continue to serve HA to see Respirology clinic, report lung functions and sleep studies as a part-time Paediatric specialist in QEH. Besides these, Dr Law enjoy teaching as an Honorary Clinical Assistant Professor in Department Paediatrics of CUHK.

Wheezing is a common complaint in children presenting to the emergency departments (AED). Asthma is one of the major diagnoses that can be managed readily at the AED. However, there are also many other causes of sudden wheezing that we must not miss, like infections and foreign body aspiration, which lead to completely different managements. On the other hand, recurrent wheezing can be asthma or due to other chronic or congenital conditions. Most importantly, we must bear in mind that patients with bad asthma may not wheeze. Nevertheless, ‘wheezing’ may actually mean any form of noisy breathing to parents.

In this presentation, I will go through the approach to childhood wheeze. The latest recommendation on immediate management of an acute asthmatic attack and acute bronchiolitis will be reviewed. Clues to an alternative diagnosis will also be discussed.

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