L2: Acute Bronchiolitis Flashcards

(55 cards)

1
Q

Def of Acute Bronchiolitis

A
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2
Q

Incidence of Acute Bronchiolitis

A

Most common lower respiratory tract infection in infant < 2 years

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3
Q

Season of Acute Bronchiolitis

A

Winter - Spring

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4
Q

Age of Acute Bronchiolitis

A
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5
Q

Sex in Acute Bronchiolitis

A

Hospitalization for bronchiolitis occurs more frequently in Male > Female

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6
Q

RF for Acute Bronchiolitis

A
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7
Q

Etiology of Acute Bronchiolitis

A
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8
Q

Etiology of Acute Bronchiolitis

  • Most Common
A

Respiratory syncytial virus (RSV)

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9
Q

Pathogenesis of Acute Bronchiolitis

A
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10
Q

Pathogenesis of Acute Bronchiolitis

  • Type of Cells
A

neutrophils

“even Though Viral infection”

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11
Q

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

A
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12
Q

CP of Acute Bronchiolitis

A
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13
Q

CP of Acute Bronchiolitis

  • Symptoms
A
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14
Q

Symptoms of Acute Bronchiolitis

  • Prodorme
A
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15
Q

Symptoms of Acute Bronchiolitis

  • Severe RD
A
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16
Q

Symptoms of Acute Bronchiolitis

  • Progressive recovery phase
A

3 weeks

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17
Q

Signs of Acute Bronchiolitis

A
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18
Q

Signs of Acute Bronchiolitis

  • Inspection
A
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19
Q

Signs of Acute Bronchiolitis

  • Palpation
A

Palpable wheezes

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20
Q

Signs of Acute Bronchiolitis

  • Percusion
A

Hyper-resonance

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21
Q

Signs of Acute Bronchiolitis

  • Auscultation
A
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22
Q

Signs of Acute Bronchiolitis

  • Others
A
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23
Q

Evaluation of Acute Bronchiolitis

24
Q

Evaluation of Acute Bronchiolitis

  • Goals
25
Evaluation of **Acute Bronchiolitis** - Severity Assessment
26
Evaluation of **Acute Bronchiolitis** - Criteria for Hospitalization
27
Clinical Course of **Acute Bronchiolitis**
28
Complications of **Acute Bronchiolitis**
29
INVx for **Acute Bronchiolitis**
30
INVx for **Acute Bronchiolitis** - Labs
31
INVx for **Acute Bronchiolitis** - rads
32
INVx for **Acute Bronchiolitis** - Etiological Diagnosis
33
INVx for **Acute Bronchiolitis** - Significance of INVx?
34
DDx of **Acute Bronchiolitis**
35
DDx of **Acute Bronchiolitis** - Mainly
Viral Pneumonia - Consolidation without hyperinflation
36
Possible Associations of **Acute Bronchiolitis** with asthma
37
TTT of **Acute Bronchiolitis**
38
TTT of **Acute Bronchiolitis** - General Measures
39
Main Line in TTT of **Acute Bronchiolitis**
General Measures
40
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%
41
General Measures in TTT of **Acute Bronchiolitis** - Nasal Bulb Suction & Saline Nasal Drops
To relieve partial nasal obstruction
42
General Measures in TTT of **Acute Bronchiolitis** - IV Fluids
To avoid dehydration & aspiration
43
General Measures in TTT of **Acute Bronchiolitis** - ICU Monitoring
With severe distress or apnea
44
General Measures in TTT of **Acute Bronchiolitis** - Mechanical Ventilation
Indications: - paco2 > 55 mmHg, hypoxemia despite O2, and/or apnea
45
Causes of Dehydration in **Acute Bronchiolitis**
46
Causes of Fluid Retention in **Acute Bronchiolitis**
47
Pharmacologic TTT in **Acute Bronchiolitis**
48
Pharmacologic TTT in **Acute Bronchiolitis** - Inhaled Bronchodialators
49
Pharmacologic TTT in **Acute Bronchiolitis** - Hypertonic Saline Nebulizer
50
Pharmacologic TTT in **Acute Bronchiolitis** - Glucocorticoides
51
Pharmacologic TTT in **Acute Bronchiolitis** - Antibiotics
52
Pharmacologic TTT in **Acute Bronchiolitis** - Montelukast
53
Pharmacologic TTT in **Acute Bronchiolitis** - Ribavirin
54
...... bronchodilators & ....... glucocorticoids MCQ are not recommended in the management of acute bronchiolitis
- Oral bronchodilators - inhaled glucocorticoids
55
Discharge Criteria in **Acute Bronchiolitis**