Paediatric Cough or Dyspnoea
COVID-19 clinical presentation
<div class="redbox">
<p style="text-size:12px;">COVID-19 can present with a myriad of symptoms so should probably be on most differential diagnosis lists during the pandemic</p>
<li><a href="https://productivemedic.com/covid-remote-assessment/" target="_blank">COVID assessment, DDx and complications</a></li>
<li><a href="https://www.google.com/imgres?imgurl=https%3A%2F%2Ff6publishing.blob.core.windows.net%2F2ab0884c-0618-4586-aaf1-41004e6ad656%2FWJCC-8-3956-g002.png&imgrefurl=https%3A%2F%2Fwww.wjgnet.com%2F2307-8960%2Ffull%2Fv8%2Fi18%2F3956.htm&tbnid=I0G0VvXcx_akPM&vet=12ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ..i&docid=IBDQMbzRItpvKM&w=3307&h=2168&q=covid%2019%20presentation&safe=strict&ved=2ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ" target="_blank">Clinical presentation summary infographic</a></li>
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*Common causes
- Infections
- Asthma
- GORD
- Allergic rhinitis
/ Non-allergic rhinitis - Anaemia
(SOB)
*Must not miss!
*Easily missed
- Food allergy or intolerance
- Cystic fibrosis
(mostly picked up on screening) - Bronchiectasis
- Functional disorder
Red flags
- Hypoxaemia (cyanosis)
- Respiratory distress/ Stridor
- Nocturnal symptoms
- High fever , Drowsiness or agitation
- Unable to feed
- Failure to thrive
- Heart murmur
Investigations to consider
- FBC, CRP/ ESR
- Serum IgE
- Pulse oximetry
- PEFR (older children)
- Sputum cultures (including AFB)
- Mantoux test
- HIV screen
- Cystic fibrosis screen
- CXR
- CT scan
- Echocardiography