L6: URT Infections Flashcards
(51 cards)
1
Q
Classification of Upper Respiratory tract Infections
A
2
Q
Def of Viral Croup
A
3
Q
Incidence of Viral Croup
A
Most common upper respiratory tract infection in infant “15% of children”
4
Q
Season of Viral Croup
A
More common in winter “parainfluenza virus”
5
Q
Age of Viral Croup
A
6 months – 5 years “Peak ⇢ 2 years”
6
Q
Sex in Viral Croup
A
Male > female
7
Q
Viral Croup
- Not Common Before …..
- Rarely Lasts ……
A
- uncommon in the first 6 months of life, Subglottic stenosis or hemangioma should be considered
- Viral croup rarely lasts > 10-14 days, Prolonged stridor may be caused by subglottic stenosis or hemangioma
8
Q
Etiology of Viral Croup
A
9
Q
Pathogenesis of Viral Croup
A
10
Q
CP of Viral Croup
A
11
Q
CP of Viral Croup
- Symptoms
A
12
Q
INVx for Viral Croup
A
12
Q
- Croup is usually a self-limited illness, and the cough typically resolves within 3 days.
- Other symptoms may persist for 7 days, with a gradual return to normal.
- Deviation from this expected course ⇢ consider diagnoses other than Croup
A
…
13
Q
CP of Viral Croup
- Signs
A
14
Q
INVx for Viral Croup
- X-Ray
A
15
Q
INVx for Viral Croup
- Pulse Oximetry
A
For hypoxia detection
16
Q
DDx of Viral Croup
A
17
Q
Viral Croup
- Westley Croup Score
A
18
Q
TTT of Viral Croup
A
19
Q
TTT of Viral Croup
- No ……
A
19
Q
TTT of Viral Croup
- Yes to …..
A
20
Q
TTT of Viral Croup
- CTS (Action, Dose)
A
21
Q
TTT of Viral Croup
- Epinephrine (Action, Dose, Route, Frequency, Indication)
A
22
Q
Prognosis of Viral Croup
A
23
TTT of **Viral Croup**
- Approach acc to seminar
24
TTT of **Viral Croup**
- Discharge Criteria
25
TTT of **Viral Croup**
- Admit Criteria
26
Def of **Epiglotittis**
27
Incidence of **Epiglotittis**
Rare “Due to Hib vaccine”
28
Age in **Epiglotittis**
1 – 5 years “75%” “mean ⇢ 40 months
29
Sex in **Epiglotittis**
Male > female
30
Etiology of **Epiglotittis**
Hemophilus influenza type B
31
Pathogenesis of **Epiglotittis**
Direct invasion by Hib causes cellulites with marked edema of:
- Epiglottis, Aryepiglottic folds, Ventricular bands, Arytenoids
32
CP of **Epiglotittis**
33
INVx for **Epiglotittis**
34
INVx for **Epiglotittis**
- Rads
35
INVx for **Epiglotittis**
- Labs
36
TTT of **Epiglotittis**
37
TTT of **Epiglotittis**
- attend
By an individual skilled in resuscitation in ICU
38
TTT of **Epiglotittis**
- Avoid
◈ Examination of throat
◈ Extensive clinical examination
◈ Blood test
◈ Transport delay
◈ Unnecessary stress
39
TTT of **Epiglotittis**
- Airway secure
◈ Elective nasotracheal intubation “TTT of choice”
◈ Tracheostomy “replaced by safer nasotracheal intubation”
40
TTT of **Epiglotittis**
- Antibiotics
- 2nd & 3rd generation cephalosporins
- Ampicillin & Sulbactam
41
TTT of **Epiglotittis**
- Adrenaline
Has no role
42
TTT of **Epiglotittis**
- Supportive TTT
◈ I.V. fluids
◈ O2
◈ Sedation & mechanical ventilation
43
Allergic Rhinitis "Hay Fever"
44
Viral Rhinitis “Common cold”
45
Acute pharyngitis & tonsilitis
- Bacterial
46
Acute pharyngitis & tonsilitis
- Viral
47
Bacterial Sinusitis
48
Bacterial Otitis Media
49
Viral Otitis Media
