The "Squeeze and Wheeze" Sign: A Useful Clinical Sign in Lung Sounds Analysis of Children With Acute Cough.

Details

Serval ID
serval:BIB_50313ADCABA2
Type
Article: article from journal or magazin.
Collection
Publications
Title
The "Squeeze and Wheeze" Sign: A Useful Clinical Sign in Lung Sounds Analysis of Children With Acute Cough.
Journal
Clinical Pediatrics
Author(s)
Laubscher B.
ISSN
1938-2707 (Electronic)
ISSN-L
0009-9228
Publication state
Published
Issued date
2013
Volume
53
Number
8
Pages
794-796
Language
english
Notes
Publication types: JOURNAL ARTICLE
Abstract
Cough is a very frequent symptom in children. Different reviews have tried to delineate the best approach to pediatric cough.1 Clinical evaluation remains the most important diagnostic initial step. Although the relations between cough and asthma are not straightforward,2 wheeze should be considered as a physical sign of increased resistance to air flow. Lung function testing is the gold standard for analyzing pulmonary resistance to air flow but has a limited practical value in young children. The clinical evaluation of the presence or absence of wheeze thus remains a primary clinical step in coughing children.
Young children do not necessarily breathe deeply in and out when asked to. For years, the author has used a so-called "squeeze and wheeze" maneuver (SWM, see Methods section for definition) to elicit chest signs in young children. The basic idea is to increase expiratory flows in children who do not cooperate adequately during their lung sounds analysis. This study was realized to communicate the author's experience of a yet unreported physical sign and to study its prevalence in young children cared for in a general pediatrics practice.
Pubmed
Web of science
Create date
11/07/2014 16:51
Last modification date
20/08/2019 14:06
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