Normal child (the hardest diagnosis!)
|
Recurrent viral colds
Pertussis
“Nursery School Syndrome” (see text)
|
Serious illness |
Will show regional variation; includes cystic
fibrosis, bronchiectasis, interstitial lung disease,
tuberculosis |
An ‘asthma syndrome’
|
Episodic viral wheeze
Multiple trigger wheeze
|
Minor mimics or exacerbators of symptoms
|
Allergic or infective rhinitis
Gastro-oesophageal reflux
|
Over-anxious parents
|
Often first-time parents who do not appreciate the range of normality
Find out if they have some concealed fear, e.g. a friend’s child died of
leukaemia having had a non-specific presentation
|