LIBRO + ANEXOS NEUMOLOGÍA PEDIÁTRICA

Neumología Pediátrica. Anexos ❚ 151 b. Recognize the clinical manifestations of chronic aspiration of liquids and foods in infants and children 2. Physical examination a. Recognize the physical findings associated with aspiration 3. Imaging a. Know that diagnostic findings may not appear on an x-ray study of the chest for several hours after an episode of aspiration b. Recognize the radiographic manifestations of acute and chronic aspiration of liquids and foods into the lungs c. Know the limitations of barium swallow in diagnosing recurrent aspiration of liquids and foods d. Understand the role of a multitexture video fluoroscopic swallowing study in the evaluation of swallowing dysfunction e. Recognize the relationship between swallowing dysfunction and the risk for chronic recurrent aspiration 4. Pulmonary function tests 5. Other investigations 6. Diagnostic criteria 7. Complications a. Recognize the pulmonary complications associated with chronic aspiration of liquids and foods e. Prevention and therapeutic approach 1. Prevention 2. Therapeutic approach a. Recognize the indications for placement of a gastrostomy tube and fundoplication in the management of recurrent aspiration b. Know the therapies to employ in a child with primary swallowing disorder who experiences recurrent aspiration of liquid and food c. Know the therapy for lipid aspiration pneumonia 3. Side effects of therapy f. Prognosis 1. Natural history a. Know the natural history of pulmonary disease in children with recurrent aspiration of liquids and foods 2. Prognosis with therapy 3. Aspiration of hydrocarbons a. Epidemiology 1. Identify common household products that put children at risk for hydrocarbon ingestion 2. Know the risks of giving mineral oil to infants and neurologically impaired individuals b. Etiology/genetics c. Pathophysiology 1. Pathology 2. Path mechanisms and consequences