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Pediatric Rounds Review Questions
A 3-Month-Old Girl with a Persistent Cough and Respiratory Distress

Answer 3

  1. Up to 30% of children will continue to have persistent cough. Persistent cough is thought to be caused by tracheal injury. In children who continue to have symptoms, evaluation including magnetic resonance imaging and/or bronchoscopy should be competed because some children will require additional surgical procedures (ie, arteroplexy). Only symptomatic children need pulmonary function tests. Children with GERD symptoms prior to surgery are at increased risk for persistent reflux symptoms. They can be treated medically or surgically. Between 70% and 97% of children will be asymptomatic. Younger children are at greatest risk for developing tracheomalacia and more complicated postsurgical courses. Most children will have immediate postsurgical relief of symptoms.

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