Question

When can one diagnose acute respiratory distress in a child ?

• A. Within 7 days of known clinical insult
• B. Respiratory failure not fully explained
• C. Left ventricular dysfunction
• D. All of the above

Answer 1

The Correct Option is D

In pediatrics, diagnosing acute respiratory distress in a child involves evaluating several criteria which include the following:

1. Within 7 days of known clinical insult: Acute respiratory distress syndrome (ARDS) typically develops within a week following a known event or trigger, such as infection, trauma, or inhalation injury. This temporal relationship is key in diagnosis.
2. Respiratory failure not fully explained: The respiratory failure must not be fully explained by cardiac failure or fluid overload. This ensures that the symptoms are directly related to the lungs and not secondary to another systemic issue, emphasizing the need for acute evaluation and treatment.
3. Left ventricular dysfunction: While left ventricular dysfunction is typically considered a cardiac issue, its inclusion in the diagnostic considerations for respiratory distress arises due to its impact on lung function. Fluid backing up into the lungs due to heart issues can mimic or contribute to respiratory distress.

Considering these criteria, all options provided contribute to the diagnosis of acute respiratory distress in a child. Therefore, the correct answer is:All of the above, as it encompasses the multifaceted approach required to accurately diagnose and treat pediatric acute respiratory distress.