Flashcards in Peds - Nose and Throat Deck (25):
1
Common cold - treatment
Rest
Hydration
Nasal saline gtts
Humidifier
NO decongestants, antihistamines, antitussives, expectorants - just let it out
2
Is the common cold associated with a fever?
No
3
Treatment for epistaxis?
o sit upright
o pressure at Keisselbach's triangle for 10 MINUTES
o ice
4
Where is Keisselbach's triangle?
End of the the bony ridge of the nose where blood vessels converge
5
Acronym for symptoms suggestive of strep throat
FLEA
Fever
Lack of cough
Exudate of tonsillar area
Anterior cervical adenopathy
presence of any one warrants strep culture
this is a SENSITIVE TEST - all negative rules strep out
6
Treatment for STREP THROAT
Penicillin VK ("K for KIDS", and potassium)
if allergic to PCN - Erythromicin
7
Sudden, severe swelling of the epiglottis that occurs as a result of a bacterial infection
epiglottitis
8
Peak age of incidence for epiglottitis
6 - 10 years of age
9
Management of epiglottitis
Immediate hospitalization
Intubation
IV 3rd gen cephalosporin until pathogen identified
10
Example of 3rd gen cephalosporin
ceftriaxone / Rocephin
11
What common illnesses do parainfluenza viruses cause?
URI --> croup
12
Peak age of incidence for croup
3 months to 6 years
13
Lungs sounds in croup
typically clear
14
Croup - appearance on xray
"steeple" shaped narrowing of the trachea
15
Croup management of moderate or severe disease
Hospitalize for respiratory support
Short course of steroids
IV fluids
Nebulized racemic epi (bronchdilator + epi)
16
An acute, infectious disease due to the Epstein-Barr virus
Infectious mononucleosis
17
Usual age range of MONO
over the age of 10
18
Incubation period for MONO
1-2 months
19
Physical exam findings in MONO
poterior cervical adenopathy
splenomegaly
"the spleen is just a big lymph node"
20
Laboratory diagnostics for MONO
lymphocytic leukocytosis
neutropenia
+ heterophil
+ monospot
21
Undrained collection of pus accumulates in a paranasal sinuses
Sinusitis
22
Children under what age don't get sinusitis due to poorly differentiated sinuses?
under age 9
23
Typical organisms of SINUSITIS
S. pneumoniae
H. influenzae
M. catarrhalis
same as AOM
24
Treatment of SINUSITIS
Amoxicillin
Erythromycin
x 14 days
25