CHILD WITH ASTHMA NOT RESPONDING TO YOUR TREATMENT
- Review your diagnosis, it might not be asthma!
- Check triggers
- Check technique
- Check compliance
- Check medication doses and choices
- Check comorbidities (especially Allergic Rhinitis, OSA, GERD, and Obesity)
- Check IgE (THINK of ABPA allergic bronchopulmonary aspergillosis!)
If you don't think it is asthma
CHILD WITH RECURRENT & NON-RESOLVING PNEUMONIA
* RECCURENT PNEUMONIA
- Two or more episodes of pneumonia in 12 months
- Three episodes altogether
- With radiological clearance in between
When to worry and investigate?
How to investigate?
Q1: Is it unilobar or multilobar?
Unilobar --> Abnormal Airway Multilobar --> Abnormal Immunity
--> Abnormal Lung --> Normal Immunity --> Primary Pulmonary Disease
--> Untreated Comorbidity
