Bronchopulmonary dysplasia - Revision history

Rossdonaldson1: /* Background */

2024-04-24T21:30:19Z

Background

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 ==Background==
 *Chronic lung disease that develops in premature infants who require prolonged mechanical ventilation and/or supplementary oxygen, usually due to [[respiratory distress syndrome]]
 *Develops within first 4 weeks of life while infant still in NICU

Rossdonaldson1: /* Evaluation */

2023-02-01T22:51:32Z

Evaluation

← Older revision		Revision as of 22:51, 1 February 2023
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	==Evaluation==		==Evaluation==
			[[File:CXR - Bronchopulmonary dysplasia.jpg\|thumb\|[[CXR]] of a patient with of bronchopulmonary dysplasia.]]
	*Typically not an ED diagnosis		*Typically not an ED diagnosis
	*Evaluate for precipitants of decompensation (e.g. infectious workup etc.)		*Evaluate for precipitants of decompensation (e.g. infectious workup etc.)

Rossdonaldson1: /* Differential Diagnosis */

2020-07-01T16:21:23Z

Differential Diagnosis

← Older revision		Revision as of 16:21, 1 July 2020
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Pediatric wheezing DDX}}		{{Pediatric wheezing DDX}}
			{{Pediatric SOB DDX}}

	==Evaluation==		==Evaluation==

ClaireLewis: Created page with "==Background== *Chronic lung disease that develops in premature infants who require prolonged mechanical ventilation and/or supplementary oxygen, usually due to respiratory..."

2019-08-21T22:54:09Z

Created page with "==Background== *Chronic lung disease that develops in premature infants who require prolonged mechanical ventilation and/or supplementary oxygen, usually due to respiratory..."

New page

==Background==
*Chronic lung disease that develops in premature infants who require prolonged mechanical ventilation and/or supplementary oxygen, usually due to [[respiratory distress syndrome]]
*Develops within first 4 weeks of life while infant still in NICU
*Typically lung function improves with time, but many require long term O2 supplementation or other therapy

==Clinical Features==
*May be asymptomatic until something (e.g. infection, respiratory irritant) triggers decompensation
*[[SOB]]
*[[Hypoxia]]
*Increased respiratory secretions
*Wheezing, crackles
*+/- [[pulmonary hypertension]]
*Poor feeding

==Differential Diagnosis==
{{Pediatric wheezing DDX}}

==Evaluation==
*Typically not an ED diagnosis
*Evaluate for precipitants of decompensation (e.g. infectious workup etc.)
*[[CXR]]
**Hyperinflation, low diaphragm, atelectasis, cystic changes

==Management==
*Escalate chronic home therapies
*Supplementary O2 and/or positive pressure ventilation as needed
*[[Bronchodilators]]
*[[Diuretics]] if euvolemic-hypervolemic
*Treat decompensated [[pulmonary hypertension]]

==Disposition==
*Low threshold to admit for acute respiratory symptoms

==See Also==
*[[Respiratory distress syndrome]]

==External Links==

==References==
<references/>
[[Category:Pediatrics]] [[Category:Pulmonary]]