PEDIATRIC CONDITIONS: need diagnostic tests, treatment and possible presentation (symptoms) for each one of them.
- Asthma
- Bronchiolitis
- Chickenpox
- Cold
- Cough
- Croup
- Diarrhea and vomiting
- Fever in children
- Earache
- Measles
- Mumps
- Roseola
- Rubella
- Skin rashes in babies
- Skin rashes in children
- Scarlet fever
- Sore throat
- Whooping cough
- Urinary tract infections in children
- Pink Eye
- Stomach flu
- Strep throat
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Pediatric Conditions – Diagnostic Tests, Treatments, and Symptoms
Condition Symptoms/Presentation Diagnostic Tests Treatment Asthma Wheezing, shortness of breath, chest tightness, coughing (worse at night/exercise) Spirometry, peak flow monitoring, response to bronchodilator Inhaled corticosteroids, bronchodilators (albuterol), trigger avoidance Bronchiolitis Coughing, wheezing, nasal congestion, difficulty breathing (infants) Nasal swab (RSV), pulse oximetry, chest X-ray (if severe) Supportive: hydration, oxygen, nasal suctioning; no antibiotics Chickenpox Itchy rash → red spots → blisters → scabs, fever, tiredness Clinical diagnosis (appearance), PCR or direct fluorescent antibody (if needed) Antihistamines for itch, acetaminophen for fever, antiviral (acyclovir if severe) Cold (Common Cold) Runny/stuffy nose, sneezing, sore throat, mild cough Clinical diagnosis Supportive: fluids, rest, saline drops, humidifier Cough Dry or wet, may follow cold or be due to asthma/infection Based on history/exam, chest X-ray if persistent/severe Treat underlying cause (e.g., asthma meds, fluids, humidifier) Croup Barking cough, stridor, hoarseness, fever Clinical diagnosis, neck X-ray (“steeple sign” in severe cases) Steroids (dexamethasone), nebulized epinephrine (if severe), humidified air Diarrhea and Vomiting Loose stools, nausea, dehydration signs (dry mouth, sunken eyes) Stool culture (if bloody/fever), rotavirus testing, electrolytes Oral rehydration, probiotics, IV fluids if dehydrated Fever in Children Elevated temp >100.4°F, often with other symptoms Rectal/axillary/oral temp, urine/stool/blood cultures (if indicated) Antipyretics (acetaminophen/ibuprofen), treat cause Earache (Otitis media) Ear pain, tugging at ear, irritability, sometimes fever Otoscopic exam (bulging/red tympanic membrane), tympanometry Pain relief, antibiotics (amoxicillin) if bacterial Measles High fever, cough, coryza, conjunctivitis, Koplik spots, rash Measles-specific IgM or PCR Supportive care, vitamin A, isolation; vaccine-preventable Mumps Swollen parotid glands, fever, headache, muscle aches Clinical, mumps IgM or PCR from saliva Supportive: fluids, rest, pain relief; vaccine-preventable Roseola Sudden high fever for 3–5 days → rash appears as fever subsides Clinical diagnosis Supportive: antipyretics for fever Rubella Mild fever, rash starting on face, lymphadenopathy Rubella IgM or PCR Supportive; prevent with MMR vaccine Skin Rashes in Babies Diaper rash, eczema, heat rash, milia, cradle cap Clinical exam Depends on cause: barrier creams, antihistamines, antifungals Skin Rashes in Children Chickenpox, measles, fifth disease, allergic rash Clinical diagnosis, sometimes allergy testing Depends on cause: antihistamines, antivirals, hydration Scarlet Fever Sore throat, fever, sandpaper-like rash, strawberry tongue Rapid strep test/throat culture Antibiotics (penicillin/amoxicillin) Sore Throat Pain, difficulty swallowing, fever Rapid strep test/throat culture Viral: supportive; Strep: antibiotics Whooping Cough (Pertussis) Severe coughing fits, “whoop” sound, post-cough vomiting Nasopharyngeal PCR or culture Azithromycin, supportive care, vaccine-preventable UTI in Children Fever, crying while urinating, bedwetting, abdominal pain Urinalysis, urine culture Antibiotics (e.g., cephalosporins); encourage fluids Pink Eye (Conjunctivitis) Red eyes, discharge, itching, crusting Clinical diagnosis; culture if recurrent Bacterial: antibiotic drops; viral: supportive; allergic: antihistamines Stomach Flu (Gastroenteritis) Vomiting, diarrhea, abdominal cramps, fever Stool test (if needed), assess hydration Rehydration, electrolyte replacement, rest Strep Throat Sore throat, fever, swollen lymph nodes, no cough Rapid antigen test, throat culture Antibiotics (penicillin/amoxicillin)
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