AMK Flashcards
1
Q
What is Bronchiolitis
A
virally induced respiratory illness
2
Q
At what age is Bronchiolitis most common?
A
infants 3-6 months
- up to 2
3
Q
how does Bronchiolitis present
A
- Wheeze
- Cough
- coryzal symptoms
- fever
tachypnoea
4
Q
How do you investigate Bronchiolitis
A
- Viral swab and viral throat swab
- supportive
5
Q
What is Croup
A
Common childhood illness - caused by upper respiratory tract infect with parainfluenza
6
Q
How does croup present
A
- Barking cough
- stridor
- hoarse voice following coryzal illness
7
Q
How do you investigate croup
A
- Westly scoring system
0-3 = mild
4-6 = moderate
6> severe
8
Q
What is the management for croup
A
- oxygen and antipyretic
9
Q
What causes Cystic Fibrosis
A
- Autosomal recessive
- caused by mutation of the CFTR gene on chromosome 7
- Chloride channel does not work properly - water and sodium do not move
10
Q
How does Cystic fibrosis present
A
- Meconium Ileus
- pancreatic insufficiency
- respiratory disease - recurrent chest infections with unusual organisms
- infertility
11
Q
How do you test for Cystic Fibrosis
A
Sweat Test - 98% sensitive
- genetic testing
- heel prick test
12
Q
How do you manage Cyctic fibrosis
A
- Chest physio
- pancreatic enzymes - croon
- high calorie diet
- regular monitoring
- prophylactic antibiotics
13
Q
What is necrotising enterocolitis
A
- affects premature babies
- causes necrosis of the bowel
14
Q
how does necrotising enterocolitis present
A
- blood
- mucus stool
- Billious vommiting
- abdominal distension
15
Q
How would you investigate a possible necrotising enterocolitis case?
A
- AXR stage and treat with NBM NG tube IV fluids TPN
