Peds Common Stuff!! Flashcards
Croup - cause
parainfluenza»_space;> RSV
Croup - age
6months to 3 years
Croup - symptoms
usually follows cold/upper respiratory prodrome
inspiratory stridor and barking cough
Croup - imaging
steeple skin
Croup - leukocytosis
uncommon, suggests epiglottis or bacterial tracheitis
When is croup unlikely
symptoms more than one week
infants less than 4 months
Spasmodic Croup
sudden onset of symptoms at night
usually no viral prodrome
Croup treatment
dexamethasone or aerolized epinephrine
dexamethasone for croup
reduces symptoms
prevent hospitalization or shorten stays
epinephrine for croup
reduces epiglottic edema by vasoconstriction
effect within 10-30 min, fades within 60-90 min
can give q20min
Croup, when do you need hospitalization
stridor at rest
observe 2-3 h after epi given
Croup Complications
viral PNA
Bacterial tracheitis
Cause of Epiglottis
GAS
S aureus
Hib if unvaccianted
Epiglottis - symptoms
children prefer to sit, head forward, mouth open, jaw thrust forward
Epiglottis - labs
thumb sign
Epiglottis treatment
antibiotics and endotracheal intubation
Bronchiolitis - overview of disease
increased mucuous production
occasional bronchospasm
which can lead to airway obstruction
Bronchiolitis - cause
viral LRTI, usually RSV
Bronchiolitis - age
first 2 years of life, peak at 2-6months
Bronchiolitis - clinical
common cold prodrome, 3-7d raspy breathing and wheezing occur
Bronchiolitis in young children
no prodrome, apnea may be first sign
Bronchiolitis - CXR if done would show
hyperinflation, flattened diaphragm
Bronchiolitis - consider in differential
asthma, cardiogenic asthma, foreign body aspiration
Bronchiolitis - prevention
palivizumab
influenza vaccine
