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Flashcards in peds head and neck Deck (18)
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1
Q

etiology of acute tonsilitis

A

Group A, G strep

2
Q

absolute indications for a tonsillectomy

A
  • OSA
  • suspect malignancy
  • hemorrhagic tonsillitis
  • severe dysphagia
3
Q

relative indications for tonsillectomy

A
  • hypertrophy
  • recurrent - 6-7x /year
  • abscess
4
Q

risks of tonsillectomy

A
  • post op hemorrhage
  • infection
  • airway obstruction
5
Q

indications for removal of adenooids

A
  • chronic
  • OSA
  • Otitis media with effusion
6
Q

most common organisms causing acute otitis media

A

S. pneumo - 35%
H flu
M catarr

7
Q

how long does the effusion last in AOM

A

up to 12 weeks

8
Q

treating AOM - first thing

A
  • observe 2-3 days no Abx

if child is > 6 mo of age

9
Q

how does the ear look in otitis media with effusion?

A

no infection, conductive HL

  • amber
  • meniscus
  • clear annulus
  • retraction
10
Q

what is not effective in treating OME

A

antibiotics!!!!

- use tubes

11
Q

indications for myringotomy and tubes

A
  • recurrent AOM
  • bilateral effusions
  • effusion for more than 3 months
  • bilateral conductive hearing loss
12
Q

inspiratory stridor
biphasic
expiratory

A

glottis and above
glottis or subglottis
intrathoracic

13
Q

70% of stridor in the newborn is due to

A

laryngomalacia

14
Q

subglottic hemagioma presents as

A

bi phasic stridor - look for cutaneous hemangioma

15
Q

main treatment of subglottic hemagiomas

A

propanolol

16
Q

management of acute epiglottitis

A

IV Abx

17
Q

supraglottic collapse can be attributed to

A

laryngomalacia

18
Q

inspiratory stridor in a newborn - in first 2 weeks

A

laryngomalacia