Pediatric Conditions – Diagnostic Tests, Treatments, and Symptoms

PEDIATRIC CONDITIONS: need diagnostic tests, treatment and possible presentation (symptoms) for each one of them.

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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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