The NIH Expert Panel Report 2 identifies the following
differential diagnostic possibilities for infants and children
presenting with wheezing:
Upper airway diseases
Obstructions involving large
Foreign body in trachea or
Vocal cord dysfunction
Vascular rings or laryngeal
stenosis, or bronchostenosis
Enlarged lymph nodes or tumor
Obstructions involving small
Recurrent cough not due to
Aspiration from swallowing mechanism
dysfunction or gastroesophageal reflux (Expert panel report 2, p.
Expert panel report 2. Guidelines for the diagnosis and
management of asthma. (July, 1997). NIH publication no.
97-4051. Retrieved August 10, 2005, from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf.
These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time.
It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.