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Paeds Resp Flashcards

(58 cards)

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1
Q

Incidence of Rhinitis

A

very common, 5-10 per year winter months

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2
Q

treatment of rhinitis

A

self-limiting condition

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3
Q

what should you do if you are not sure about a rhinitis?

A

review

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4
Q

Otitis media incidence

A

common, self limiting

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5
Q

Si and Sy or Otitis media

A

erythema
bulging ear drum
ear pain

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6
Q

primary infection in otitis media is

A

viral

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7
Q

secondary infection in otitis media is with

A

pneumococcus/ H’ flu

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8
Q

what can happen in otitis media to the ear drum?

A

spontaneous rupture

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9
Q

do you treat Otis media with antiBs ?

A

NO does usually help

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10
Q

What DO you give for Otitis media?

A

analgesia

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11
Q

Tonisillitis / pharyngitis

common?

A

yah

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12
Q

dilemma with tonsillitis / pharyngitis is

A

viral or bacterial?

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13
Q

how do you tell if tonsillitis / pharyngitis is viral or bacterial?

A

do throat swab

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14
Q

treatment of tonsillitis / pharyngitis

A

either nothing or 10 days penicillin

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15
Q

P of Croup

A

Para’flu 1

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16
Q

is croup common?

A

yah

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17
Q

do kids with croup appear well or unwell?

A

well

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18
Q

Sy and SIs of Croup

A

Coryza ++, stridor, hoarse voice, “barking” cough

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19
Q

treatment of croup

A

oral dexamethasone

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20
Q

P of Epiglottitis

A

H. influenza Type B

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21
Q

is Epiglottitis common?

A

no rare

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22
Q

Is the child in Epiglottitis well?

A

no - toxic

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23
Q

treatment of Epiglottitis

A

intubation and antibiotics

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24
Q

Principles of management of LRTI

Study These Flashcards
A

make diagnosis
assess the patient
-Oxygenation, hydration, nutrition
to treat or not to treat grey area

25
is Bronchitis common?
yahhhhh
26
what kind of cough do you get in Bronchitis?
loss rattly cough | mouthful of mucus coughed up
27
Other Sy and Is of Bronchitis
post-tussive vomit "glut" | Chest free of wheeze / creps
28
bugs responsible for Bronchitis
haemophilus / Pneumococcus
29
treatment of Bronchitis
mostly self limiting
30
how is the child in Bronchitis
VERY well, parent worried
31
IN bacterial bronchitis is bacterial overgrowth the primary or secondary issue?
SECONDARY virus first - switches of mucociliary clearance therefore antiBs dont solve issue
32
management of persistent bacterial bronchitis
make diagnosis reassure do not treat
33
Incidence of Bronchiolitis
LRTI of INFANTS affects 30-40% or all infants <12 months one off (NOT recurrent) Typical history
34
P of Bronchiolitis
usually RSV
35
Si and Sy Bronchiolitis
nasal stuffiness, tachypnoea, poor feeding | crackles +/- wheeze
36
management of Bronchiolitis
maximal observation | minimal intervention
37
History of LRTI
48hrs, fever (>38.5), SOB, cough, grunting wheeze makes bacterial cause unlikely reduced or bronchial breath sounds
38
Infective agents in LRTI
virus + commensal bacteria/bacterium
39
should you call it pneumonia?
no, call it LRTI
40
investigations in LRTI
nothing | CXR NOT routine
41
management LRTI
nothing if symptoms are mild | oral amoxycillin first line
42
Pertussis/ whooping cough common?
this is common!
43
what is Pertussis/ whooping cough?
bronchitis caused by Bordetella pertussis infection
44
S of Pertussis/ whooping cough
"coughing fits" | vomiting and colour change
45
vaccination against Pertussis/ whooping cough reduces ... and .....
risk and severity
46
treatment of Pertussis/ whooping cough
supportive
47
when to treat otitis media?
age under 2 AND bilateral OM | oral amoxycillin
48
when to treat tonsillitis?
if you know if its Strep | penicillin 10days
49
when to treat LRTI/ pneumonia
2 days fever, cough, focal signs | oral amoxycillin
50
Solution to asthma problem no wheeze ... if QoL affected, confirm diagnosis with trial of... QoL not affected....
no asthma ICS watch and see
51
key words in asthma
wheeze - genuine variability - symtoms come and go ebb and flow responds to treatment
52
aetiology of asthma
"hyperactive' airways, chronic bronchial inflammation
53
S of Asthma
``` where and difficulty in breathing triggers viral URTI cold exercise allergens ```
54
other factors that increase risk of asthma
parental Hx asthma eczema hayfever food allergies
55
asthma treatment
ICS for 2 months
56
ideal history of asthma
wheeze (with and without URTI) SOB@rest parental asthma Responds to treatment
57
treatment of asthma
bronchodilators -SABA steroids - ICS LABA + leukotriene receptor antagonist add ons
58
Other management of Asthma
stop tobacco smoke exposure | remove environmental triggers

Paediatrics (15 decks)

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