I think mnemonics aren't required for every case if you have the correct thought process, you will ask the right questions.
Found out what is the patient talking about:
Onset
Progression
Duration
Description
Alleviating / Aggravating factors (especially positional)
Heard on inhalation or exhalation
Noisy breathing, what are the differentials?
Foreign body aspiration
- What was she doing before the noisy breathing started?
Infectious etiology
- Fever / chills / night sweats
- Cough / Sputum / Blood
- Difficulty breathing / pulling of ears
Epiglottitis
- Is there drooling of saliva from the mouth?
- Is the cry muffled?
Croup
- Is the cough barking in nature?
Laryngitis
- Hoarseness of voice
Angioedema
- Allergies in the family / Is the child allergic to anything?
- Has she had many infections in the past?
Assess how severe is the difficulty breathing
- Is there cyanosis?
- Is she crying? How is the cry?
- Is she awake / unusually sleepy?
- Is there any difficulty feeding?
Sometimes, children aspirate foreign bodies to gain attention from parents on purpose
- Any similar episodes in the past?
- Any stress in the family?
Other questions:
Snoring for adenoids?
Labs:
ABG
CXR
XR neck
Bronchoscopy / Laryngocopy
That's all!
-IkaN
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