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Flashcards in Difference between child and adult Deck (10):
1

how to estaminate blood volume in child and wt

80mls/kg
(age+4) x 2

2

Size of trachea

1yr = 6-7 mm
10 yr = 10mm

3

Difference in airway

Narrow, short trachea
Large tongue
Larynx is higher at C2-3 and more anterior
Epiglottis is horseshoe

4

Common eye problems

Acute suppurative otitis media
Chronic suppurative otitis media
Otitis media effusion
Adhesive Otitis media
Cholesteatoma

5

Acute suppurative otitis media

Presents - pain, fever, and deafness, Conductive hearing loss
Organism - Strep pneumonia, H Influenzae
Cx - Meningitis, abscess, sinus thrombosis, mastoiditis, facial nerve palsy
Tx - Analgesia, antibiotics and may have Myringotomy

6

Mastoiditis

Cx of ASOM
Subperiosteal abscess, may have intracranial abscess
Tx - IV Abs, Mastoid surgery and grommet

7

Chronic Suppurative OM

Inflammation causing recurrent ear discharge due to a perforated TM
Presents with recurrent discharge and conductive hearing loss
Tx - Abs and tm Reconstruction.

8

Otitis media effusion

Cause - Poor ET function
Presentation - non infective, No pain or fever. Child is well
Causes a conductive hearing loss causing a speech delay
Tx -
If more than 3 months
Grommets
May need adenoidectomy
and hearing aid

9

Cholesteatoma

Cause - skin of TM growing in the wrong space due to ear disease. It grows into the middle ear.
Presentation - Offensive discharge, conductive hearing loss.
Cx - serious
Tx - surgery

10

Diseases caused by tonsils and adenoids problems

Sleep apnoea leading to cor pulmonate, pulmonary HTN, cardiac hypertrophy
Recurrent tonsilitis
Snoring
Adenotonsillectomy