Acute Bronchiolitis: Assessment and Management in Urgent Care | Points & Pearls

Acute Bronchiolitis: Assessment and Management in Urgent Care

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Points & Pearls Excerpt

  • Bronchiolitis is the most common lower respiratory tract infection in infants and young children aged <2 years.
  • Respiratory syncytial virus (RSV) and human metapneumovirus (HMPV) cause the majority of cases.
  • Bronchiolitis is a clinical diagnosis, defined by the American Academy of Pediatrics (AAP) as “rhinitis, tachypnea, wheezing, cough, crackles, use of accessory muscles, and/or nasal flaring in infants.”
  • There can be a variable degree of edema and narrowing of the small airways, with mucous plugging, atelectasis, air trapping, and hypoxemia. Changes in these factors account for the variable clinical presentation of bronchiolitis and the rapid changes in severity of illness.
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Publication Information
Editor in Chief & Update Author

Keith Pochick, MD, FACEP
Editor-in-Chief; Attending Physician, Urgent Care
Amanda Nedved, MD
Urgent Care Physician; Associate Professor of Pediatrics, Children's Mercy Kansas City/University of Missouri–Kansas City School of Medicine, Kansas City, MO

Urgent Care Peer Reviewer

Danielle Federico, MD, FAAP

Charting Commentator

Brad Laymon, PA-C, CPC, CEMC

Publication Date

January 1, 2023

CME Expiration Date

January 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™. 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Infectious Disease CME credits

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