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Paeds AM > URTI > Flashcards

URTI Flashcards

1
Q

What is otitis media?

A

Middle ear infection

Associated with URTI

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2
Q

What is the presentation of otitis media?

A

Erythema, pain
Bulging drum
Crying, fever

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3
Q

What is the management of otitis media?

A

Self limiting- analgesia

Antibiotics if <2yo and bilateral

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4
Q

What are the common causes of tonsillitis?

A

Bacterial

Viral

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5
Q

What is the presentation of tonsillitis?

A 
PAin
Dysphagia and odynophagia 
Fever, malaise
Lymphadenopathy 
Enlargement of tonsils
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6
Q

How is tonsillitis diagnosed?

A

Clinical

Throat swab uf suspect of bacterial

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7
Q

What are the indications for antibiotics in tonsillitis?

A 
FeverPAIN
Fever
Purulence 
Attent <3days 
Inflamed tonsils 
No cough/coryza
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8
Q

What is the antibiotic management of bacterial tonsillitis?

A

10 days phenoxymethylpenicillin

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9
Q

What are the management options for tonsillitis?

A

Analgesia
Antibiotics
Recurrent= tonsillectomy

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10
Q

What are the complications of tonsillectomy?

A

Haemorrhage

Coroner’s clot

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11
Q

What is croup?

A

Common and self limiting viral infection of URT

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12
Q

What is the cause of croup?

A

Usually parainfluenza virus

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13
Q

Who gets croup?

A

6months to 3 yo

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14
Q

What is the presentation of croup?

A 
Barking cough
Coryza
Stridor
Harseness
Generally well child
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15
Q

What is the management of croup?

A

Oral dexamethasone single dose

Supportive

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16
Q

What is the management of severe croup?

A

High flow O2 and neb adrenaline

Admission

17
Q

What are the indications for admission with croup?

A

Severe

<6months

18
Q

What is epiglottitis?

A

Rare and dangerous bacterial URTI

19
Q

What causes epiglottitis?

A

H. influenza

20
Q

What is the presentation of epiglottitis?

A

Stridor
Drooling
Leaning forward
High temperature, unwell child

21
Q

What is the management of epiglottitis?

A

Intibation

Antibiotics

22
Q

What causes whooping cough?

A

Cordetella pertussis

23
Q

What is the presentation of whooping cough?

A

2-3 days coryza then
Coughing bouts- worse at night and after feeding, can lead to vomiting, central cyanosis, apnoea
Inspiratory whoop
Can last 10-14 weeks

24
Q

What investigations are done for whooping cough?

A

Nasal swab culture

PCR and serology

25
Q

How is whooping cough diagnosed?

A

Acute cough >14 days without another cause, and 1 of

  • paroxysmal cough
  • inspiratpry whoop
  • post-tussive vomiting
  • undiagnosed apnoeic attacks
26
Q

What is the management of whooping cough in <6 months?

A

Admit and antibiotics

27
Q

What is the management of whooping cough?

A

Antibotocs- clairythromycin, azithromycin, erythromycin

28
Q

What is the prevention of whooping cough?

A

Immunisation

Antibiotic prophylaxis for household contacts

29
Q

What are the complications of whooping cough?

A

Subconjunctival haemorrhage
Pneumonia
Bronchiectasis

Paeds AM (28 decks)

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