Lecture 15 Pediatric Lung and Airway Flashcards Preview

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Flashcards in Lecture 15 Pediatric Lung and Airway Deck (20):
1

Stridor is typically due to a _____ obstruction. Wheezing is due to a ____ obstruction

extrathoracic, intrathoracic

2

stridor vs wheezing:
which can be due to smaller airway obstruction? Which is typically associated with upper airway?

wheezing, stridor

3

with a ____ obstruction, inspiration and expiration do not vary in airflow

fixced

4

example of fixed obstruction:

laryngeal or tracheal web

5

a flow volume loop flattening on inhalation is indicative of a _____ problem; ie ____

extrathoracic; vocal cords and above

6

a flow volume loop flattening on exhalation is indicative of a _____ problem, ie lesions below the ____

intrathoracic;
larynx

7

2 examples of variable extrathoracic obstruction:

vocal cord dysfunction, obstructive sleep apnea

8

2 examples of variable intrathoracic obstruction

endobronchial tumor, tracheal tumor

9

RSV is most common from ___ to ____ in the midwest

Nov-april

10

RSV is the most common cause of ____ and ____ in infants. It is called the "happy _____"

pneumonia, bronchiolitis;
wheezer

11

in older children, RSV causes ____

otitis media

12

in infants, RSV can cause ______; treatment is ____

apnea;
supportive (O2 and IV fluids)

13

prevention of RSV?

palivizumab (monoclonal Ab)

14

Parainfluenza causes _____ aka ____ in infants

laryngotracheobronchitis, croup

15

Croup characteristcs:
inspiratory ____ due to submucosal edema in the trachea;
_____ cough

stridor;
harsh, barking "Seal like"

16

characteristic x-ray finding of patients with croup

"steeple sign" (narrowing of trachea due to edema

17

children with acute respiratory distress often assume the ____ position to maximize airway opening

tripod

18

unvaccinated kid presents with drooling, respiratory distress, and stridor-- probably diagnosis?

Hemophilus (epiglottis)

19

characteristic finding of HiB infection:

thumbprint sign (thickening of epiglottitis)

20

symptoms: pseudomembranous pharyngitis, lymphadenopathy;
diagnosis =

diptheria