Flashcards in Common Upper Respiratory Tract Infections (URI) Encountered in Primary Care Deck (20):
What makes up the upper respiratory tract?
-ethmoidal air cells
What viruses are implicated in the common cold?
>200 types inc:
Are antibiotics recommended of the common cold?
Are narcotics/antihistamines or antihistamine/decongestants recommended to treat cough or col sx in children?
What is acute rhinosinusitis (sinusitis)?
-inflammation of paranasal sinuses
What pathogens cause acute rhinosinusitis?
-majority of viral etiology
What are the sx of acute bacterial rhinosinusitis (ABRS)
O: nasal Obstruction
D: nasal purulence/Discoloured postnasal Discharge
S: hyposmia/anosmia (smell)
need at least 2 w P or O included.
What are the complications of acute rhinosinusitis?
-local extension (to bone in the region i.e. sinus bones)
-intracranial venous sinus infx
What is pharyngitis?
inflammation of the pharynx (acute sore throat)
What percentage of pharyngitis cases are caused by viruses?
What viruses cause pharyngitis (top to bottom %):
-Haemophilus influenzae type b
*rare: fusobacterium necrophorum (Lemierre's syndrome)
What rare complications exist for Streptococcal pharyngitis?
(why we treat with antibiotics...well warranted)
What is the gold standard Rx for Streptococcal pharyngitis?
(no resistance anywhere in world)
What is the usual pathogen causing Hand foot and mouth (pharyngitis) in children?
Coxsackie A virus
What are the indications for tonsillectomy?
-6 episodes of tonsillitis/year
-recurrent peritonsillar abscess
-obstructive sleep apnea due to large tonsils
-suspected tumor (rare)
What is the main pathogen causing infectious mononucleosis (a form of pharyngitis)?
*risk of spleen rupture (1% cases)
What are causes of pharyngitis besides mono and strep?
-Gonococcal pharyngitis (antibiotic Rx)
-oral "thrush" (candida causes this esp in immunocompromised patients)
-Lemierre's syndrome (18% mortality)
What is 'CROUP'?
What are the causes of croup?
What are the sx of epiglottitis?
-difficulty breathing (tripod)
-voice change (hoarse)