Peds - Nose and Throat Flashcards Preview

NP > Peds - Nose and Throat > Flashcards

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

Preferred radiological study in SINUSITIS

CT scan preferred over standard xray but only used in complicated sinusitis