Respiratory Distress / Cough

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Propose a management plan for patients with an acute exacerbation of asthma. List triggers of an acute exacerbation of asthma.
2. Explain physiologic rationale for out-patient treatment of asthma. Propose a management plan for patients with anaphylaxis, croup, bronchiolitis, and pneumonia.
3. Recognize the clinical features of pertussis, epiglottitis, tracheitis, foreign body, cystic fibrosis, and congestive heart failure.

Half Day Cases

• A 3 year old girl is brought in to the emergency department for increased work of breathing. Her initial vitals showed heart rate of 130, respiratory rate of 40, oxygen saturation 86% on room air, blood pressure 92/46, temperature 38 celcius
• A 3 month old girl is brought in to the emergency department for increased work of breathing. Her initial vitals showed heart rate of 180, respiratory rate of 70, oxygen saturation 86% on room air, blood pressure 80/46, temperature 38 celcius
• A 2 year old child is brought into the emergency department by EMS. He was playing at home, and then developed sudden onset of stridor and increased work of breathing.
• A 7 year old boy has had a persistent for for 4 months now.