L14 - Infectious Cause Of Upper Respiratoey Tract Infection

Question 0

Infective agent of acute epiglottis

Answer 0

Haemophilus influenza

Question 1

Clinical futures of acute epiglottis

Answer 1

Fever, sore throat, dysphasia, stridor, drooling of oral secretion

Question 2

Haemophilus influenza

Answer 2

Coccobacilli
Gram negative
Require factor X and V for growth

Question 3

Diagnosis of acute epiglotitis

Answer 3

Laryngoscopes - berry red epiglottis

Question 4

Treatment for acute epiglottitis q

Answer 4

Airway protection
Amoxicillin - clavulance
Rifampin for prophylaxis

Question 5

Peri tonsillar abscess

Answer 5

After acute tonsillitis

Adolescent and children

Question 6

Clinical features of peri tonsillar abscess

Answer 6

Severe sore throat 
Low grade fever 
Dysphasia 
Tonsillar inflammation and tonsil may elevate 
Bilateral - obstruction - stridor

Question 7

Infective agent of peritonsillar abscess

Answer 7

Streptococcus pyogenes( lance field type A), viridvan streptococcus, anaerobes

Question 8

Streptococcus pyogenes

Answer 8

Lance field type A
Gram ositive, spherical diplocci
Group by lance field typing or bactracin

Question 9

What are the three types of deep fascial space infection

Answer 9

Submandibular and sublingual space
Lateral pharyngeal space
Retropharyngeal space

Question 10

What is submandibular and sublingual space infection usually related to

Answer 10

Dental root abscess

Question 11

Two types of lateral pharyngeal space infection

Clinical features difference

Answer 11

Anterior - pain and trismus

Posterior - dyspnea

Question 12

Potential consequence of lateral pharyngeal space infection

Answer 12

Jugular vein Thrombophlebitis

Carotid artery erosion

Question 13

Underlying cause of retro pharyngeal space infection

Answer 13

Odonitis, peritonsillar abscess, cervical vertebral osteomyelitis, perforated pharynx

Question 14

Infective agent of croup

Answer 14

Influenza, parainfluenza, respiratory syncytial virus, adenovirus, rhinovirus, mycoplasma

Question 15

Comparison between acute epiglottis and CROUP

Answer 15

Acute epiglottis - acute, drooling saliva, can’t speak, moderate to severe striae
CROUP- viral prodrome, barking cough, hoarseness of voice, able to swallow

Question 16

Investigation for CROUP

Answer 16

Xray

Nasopharyngeal aspiration