L2: Acute Bronchiolitis Flashcards by Ahmed Farag

Q

Def of Acute Bronchiolitis

A

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Q

Incidence of Acute Bronchiolitis

A

Most common lower respiratory tract infection in infant < 2 years

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Q

Season of Acute Bronchiolitis

A

Winter - Spring

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Q

Age of Acute Bronchiolitis

A

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Q

Sex in Acute Bronchiolitis

A

Hospitalization for bronchiolitis occurs more frequently in Male > Female

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Q

RF for Acute Bronchiolitis

A

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Q

Etiology of Acute Bronchiolitis

A

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Q

Etiology of Acute Bronchiolitis

Most Common

A

Respiratory syncytial virus (RSV)

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Q

Pathogenesis of Acute Bronchiolitis

A

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Q

Pathogenesis of Acute Bronchiolitis

Type of Cells

A

neutrophils

“even Though Viral infection”

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Q

RSV bronchiolitis is rare during the first 6 weeks due to ……

A

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Q

CP of Acute Bronchiolitis

A

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Q

CP of Acute Bronchiolitis

Symptoms

A

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Q

Symptoms of Acute Bronchiolitis

Prodorme

A

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Q

Symptoms of Acute Bronchiolitis

Severe RD

A

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Q

Symptoms of Acute Bronchiolitis

Progressive recovery phase

A

3 weeks

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Q

Signs of Acute Bronchiolitis

A

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Q

Signs of Acute Bronchiolitis

Inspection

A

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Q

Signs of Acute Bronchiolitis

Palpation

A

Palpable wheezes

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Q

Signs of Acute Bronchiolitis

Percusion

A

Hyper-resonance

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Q

Signs of Acute Bronchiolitis

Auscultation

A

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Q

Signs of Acute Bronchiolitis

Others

A

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Q

Evaluation of Acute Bronchiolitis

Study These Flashcards

A

Q

Evaluation of Acute Bronchiolitis

Goals

Study These Flashcards

A

Evaluation of **Acute Bronchiolitis** - Severity Assessment

Evaluation of **Acute Bronchiolitis** - Criteria for Hospitalization

Clinical Course of **Acute Bronchiolitis**

Complications of **Acute Bronchiolitis**

INVx for **Acute Bronchiolitis**

INVx for **Acute Bronchiolitis** - Labs

INVx for **Acute Bronchiolitis** - rads

INVx for **Acute Bronchiolitis** - Etiological Diagnosis

INVx for **Acute Bronchiolitis** - Significance of INVx?

DDx of **Acute Bronchiolitis**

DDx of **Acute Bronchiolitis** - Mainly

Viral Pneumonia - Consolidation without hyperinflation

Possible Associations of **Acute Bronchiolitis** with asthma

TTT of **Acute Bronchiolitis**

TTT of **Acute Bronchiolitis** - General Measures

Main Line in TTT of **Acute Bronchiolitis**

General Measures

General Measures in TTT of **Acute Bronchiolitis** - O2

**Mandatory** - It can be provided by nasal cannula, head box, or face mask - The goal is to maintain sao > 90 - 92%

General Measures in TTT of **Acute Bronchiolitis** - Nasal Bulb Suction & Saline Nasal Drops

To relieve partial nasal obstruction

General Measures in TTT of **Acute Bronchiolitis** - IV Fluids

To avoid dehydration & aspiration

General Measures in TTT of **Acute Bronchiolitis** - ICU Monitoring

With severe distress or apnea

General Measures in TTT of **Acute Bronchiolitis** - Mechanical Ventilation

Indications: - paco2 > 55 mmHg, hypoxemia despite O2, and/or apnea

Causes of Dehydration in **Acute Bronchiolitis**

Causes of Fluid Retention in **Acute Bronchiolitis**

Pharmacologic TTT in **Acute Bronchiolitis**

Pharmacologic TTT in **Acute Bronchiolitis** - Inhaled Bronchodialators

Pharmacologic TTT in **Acute Bronchiolitis** - Hypertonic Saline Nebulizer

Pharmacologic TTT in **Acute Bronchiolitis** - Glucocorticoides

Pharmacologic TTT in **Acute Bronchiolitis** - Antibiotics

Pharmacologic TTT in **Acute Bronchiolitis** - Montelukast

Pharmacologic TTT in **Acute Bronchiolitis** - Ribavirin

...... bronchodilators & ....... glucocorticoids MCQ are not recommended in the management of acute bronchiolitis

- Oral bronchodilators - inhaled glucocorticoids

Discharge Criteria in **Acute Bronchiolitis**