Differential diagnostics and treatment tactics of pediatrician at repeated episodes of broncho obstructive syndrome

Abstract

The article presents the problem of bronchial obstructive syndrome in children due to the prevalence, complexity of differential diagnosis in the case of recurrences episodes.
Given that bronchial obstructive syndrome may be present with a wide range of problems (upper digestive tract,cardiovascular, hereditary and congenital bronchopulmonary pathology, etc.), this is differentiates the need for a clinical interpretation of each situation in particular. Particular attention is paid to the importance of a full examination of the child, detailed anamnesis (disease, genetic, allergic), careful choice of the volume of necessary examinations. It does not decrease the relevance of a probable diagnosis of bronchial asthma based on taking into account the frequency of bronchial obstructive syndrome, burdensome allergic and/or genetic history, individual laboratory parameters (eosinophilia, elevated Ig E levels in the blood). High risk of bronchial asthma in a child is the basis for the trial anti-inflammatory therapy using antileukotriene drugs, obvious referral of the patient to the allergist.