Flashcards in Paediatric ENT - Laryngology Deck (12)
What causes most sore throats?
Explain the microorganisms causing tonsilitis?
If bacterial - Most likely Beta Haemolytic Strep (e.g. Strep Pyogenes)
If Viral - Most likely EBV (Epstein Barr)
What are the major complciations of tonsillitis?
Quinsy - A peritonsillar Abscess
Glomerulonephritis - due to strep spread
How do we treat quinsy?
Drainage and Abx
How do we treat tonsillitis?
What makes children more prone to airway issues than adults?
- Short neck
- Narrow Subglottic Issues
- Larger tongue, tonsils and epiglottis relative to rest of airway
What would you expect to see in the history of a child with laryngeal airway problems?
- History of Foreign Body
- Recent Illness
- Stridor (Inspiratory)
- Feeding Issues
List some issues that can cause paediatric laryngeal problems
- Thyroglossal cyst
- Branchial Cyst
- Cystic Hygroma
- Cervical Lymphadenopathy
What is a cystic Hygroma?
Large cyst like cavities of lymphatic tissue, contains lymph
How do we manage epiglotitis?
IV Abx +/- Steroids
What is laryngomalacia?
Poor/late development of the laryngeal cartilages.
Causes the cartilage to collapse as you breath so yo end up with stridor, more often when laying prone