Beginning of Presentation
The air goes in
Anecdotal vs evidence-based teaching
Principles
Principles
Newborn with noisy breathing
Newborn with noisy breathing
Newborn with noisy breathing
Newborn with noisy breathing
Newborn with noisy breathing
The best laid plans
Reassessment at 0200:
Plan B:
Plan B:
Wood's Rule #1
Lessons from this child
9 month old with noisy breathing
9 month old with noisy breathing
9 month old with noisy breathing
Lessons from this child
Wood's Rule #3
Two year old with persistent wheezing
Clinical presentation
Bronchoscopy
Sweat testing
Lessons from this child
Wood's Rule #4
False negative sweat tests
12 year old with persistent wheezing
12 year old with persistent wheezing
12 year old wheezing girl
Lessons from this child
Lessons from this child
284 children with persistent wheezing
11 year old with cystic fibrosis
11 year old with cystic fibrosis
Lessons from this child
Lessons from this child
15 year old with sudden onset of respiratory distress
15 year old with respiratory distress
15 year old with respiratory distress
15 yo with respiratory distress
Bronchial hemangioma
Lessons from this case
7 year old with hemoptysis
7 year old with hemoptysis
7 year old with hemoptysis
7 year old with hemoptysis
7 year old with hemoptysis
7 year old with hemoptysis
He still had asthma!
Lessons from this child
Wood's Rule #2
3 month old with bronchiolitis
3 month old with bronchiolitis
3 month old with bronchiolitis
Wood's Rule #7
3 year old with recurrent pneumonia
3 year old with recurrent pneumonia
Pulmonary hemosiderosis
Lessons from this patient
217 children with recurrent pneumonia
3 year old gymnast
3 year old gymnast
3 year old gymnast
3 year old gymnast

Slide64
Wood's Rule #6
Lessons from this case
Child with obstructive sleep apnea
Lessons from this child
419 children with stridor
Stridor in infants
Airway obstruction in children
Lessons from these children
Q & A

Pediatric Grand Rounds - "The air goes in and the air goes out, but things aren't always just what they seem..." - 12/17/02