Peer Reviewed
Feature Article Respiratory medicine

Investigating the child with dyspnoea

Dominic A Fitzgerald
Abstract
Dyspnoea refers to the feeling of difficult or laboured breathing, which an older child may describe as being ‘short of breath’.
Key Points
  • Age and clinical features influence investigation and diagnosis in the child with dyspnoea.
  • The chest x-ray is the most common investigation in the child with dyspnoea.
  • Other useful initial investigations, where appropriate, include a lateral airways x-ray, a barium swallow and meal, pulmonary function tests and laboratory testing.
  • In complex presentations, more sophisticated imaging, endoscopy and polysomnography may be useful.
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