Infections above lungs

Question 1

severe sore throat, stridor, fever, dysphagia, drooling, tripod position

NO pharyngitis

Answer 1

Epiglottitis

Question 2

Epiglottitis is primarily caused by

Answer 2

Haemophilus Type B (G -)

Question 3

I’m not sure if this pt has epiglottitis or not. I should order ____

Answer 3

lateral neck XR to look for thumbprint sign (enlarged epiglottis)

Question 4

Epiglottitis Treatment

Answer 4

• Ceftriaxone (Rocephin) for pt
• Rifampin for household contacts
• Report to CDC

Question 5

6 month old - 3 yr old with cold and barking cough. symptoms worse at night

Answer 5

Croup

Question 6

Order ___ to rule out Croup

check for ___ sign

Answer 6

neck or AP Chest XR

check for steeple sign

Question 7

Croup Trmnt

Answer 7

• cool air +/- corticosteroids
• albuterol if wheezing

sometimes nebulized racemic epinepherine

Question 8

Influenza season

Answer 8

WINTER

Question 9

Parainfluenza season

Answer 9

FALL

Question 10

Stridor is heard in the ____; wheezing is heard in the ____

Answer 10

Stridor = neck
Wheezing = lungs

Question 11

3 weeks -16yo with URI that progresses to HIGHER fever, cough, and inspiratory stridor, and slight respiratory distress

Answer 11

Bacterial Tracheitis

Question 12

Bacterial Tracheitis Trmnt

Answer 12

• Airway Managment
• IV ABX: Rocephin + (oxacillin or nafcillin) OR single trmnt clindamycin for community acquired MRSA.
• Vanco if pt appears toxic

staph aureus and group A beta-hemolytic strep (both G +)

Question 13

Croup Etiology & seasonal

Answer 13

Parainfluenza type 1,2, &3 virus, influenza A & B, adenoviruses
FALL

Question 14

Croup affects what part of the throat?

Answer 14

larynx

Question 15

order ____ to rule out bacterial tracheitis

Answer 15

XR for steeple sign at trachea

Question 16

pt with severe sore throat, fever, stridor, and NO pharyngitis. Concern for?

Answer 16

Epiglottitis

Question 17

Baby has nasally inspiratory stridor but no signs of infx?

Answer 17

Laryngomalacia

A collapse of supraglottic structures during inspiration

Question 18

Most common congenital stridor

Answer 18

laryngomalacia

A collapse of supraglottic structures during inspiration

Question 19

Child has an URI that progressed to HIGHER fever, cough, and inspiratory stridor. They keep tossing and turning (cant get comfortable). No drooling

Answer 19

Bacterial Tracheitis

need hosp for IV ABX and airway managment