Grunting

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Definition

-  Respiratory noise made by child, infant or neonate produced by expiration against close glottis

 

Features

-  May signify pneumonia or respiratory disease esp in infants & young children

-  Common in early hours of life: likely less significant in newborns

 

Associated S/S

-  Respirtoary effort: nasal flaring, intercostal/subcostal recession, tracheal tug, accessory muscle use

 

Causes

-  Pneumonia

 

Ix

-  O2 Saturation

-  Temp: fever

-  +/- Septic workup

-  IV access

-  +/- CXR

-  FBE, CRP, BC

 

Mx

-  If febrile --> Ix & Rx

-  Grunting infants should be observed for 1-2hrs

-  If resolves nil further Ix or Mx

-  If not --> Ix & Rx

-  Benzylpenicillin 50mg/kg IV 12/24

-  Gentamicin 4mg/kg IV Daily

 

 

 

Reference

 

Archives of Paediatric Medicine 2001; 155: 372-375