Flashcards in Peds Upper Resp Tract infection Deck (12):
What are the defining traits of Sinusitis?
Persistent: runny nose, daytime cough
Severe: fever over 102.2 lasts for 3 days in a row Mucus thick and cloudy or colored
Worsening: cold starts to improve, fever returns, cough, or runny nose gets worse
Continues to worsen after 10 days.
What is classic presentation of Viral croup(laryngo-tracheal-bronchitis)?
Barking "seal" cough
noisy breathing on inspiration
retractions of chest wall.
URI for the last 2 days
most likely between 6 mon and 6 yrs
What organism causes Croup?
Parainfluenza virus T1 (50%)
(from most to least common)
How is viral croup diagnosed?
AP Xray of neck shows "steeple sign"
What is the Treatment of Croup?
Racemic epinephrine by nebulization (rescue)
Dexamethazone (long term)
What is charicteristic of Epiglottitis?
Rapid swelling of upper airway. Patient is anxious
DO NOT Xray, use tongue depressor, gather team => OR
LOTS OF DROOLING
WHat is charicteristic of BActerial Tracheitis?
May follow viral croup
What is charicteristic of foreign body aspiration?
Rapid onset of symptoms
Cough, stridor, wheeze, drooling, resp distress
How is Foreign body diagnosed?
2 views of neck Xray, insp/exp CXR
Trachea seen in Saggital plane
Esophagus seen in Coronal plane
Removed by endoscopy
What is charicteristic of Retropharyngeal Abcess?
Inf between buccopharyngeal and prevertebral fascia
Strep Pyo, oral anaerobes, staph aureus
Prevertebral space closes in 3-4th year
(peritonsillar abcess seen in school age child)
What is the clinical presentation of Retropharyngeal abcess?
Ill appearing child with torticollis and trismus
Drooling and Stridor
Swelling of oropharynx