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my resp cards > Summarised L Notes > Flashcards

Summarised L Notes Flashcards

1
Q

What is coryza and how is it spread?

A

Acute viral infection of nasal passages… the common cold

3 virus - adenoviruses, coronaviruses and rhinoviruses

Droplet spread - worse with overcrowding and poor ventilation

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2
Q

Complications of coryza ? (4)

Treatment?

A

Sinusitis
Acute bronchitis
Secondary infection - rare
Otitis media

Fluid, paracetamol, isolation

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3
Q

What is sinusitis?

Name 3 symptoms

A

Bacterial OR fungal infection of the paranasal sinuses

Often after coryza. Can be in combo with asthma.

Frontal headache, facial pain, lots of rhinnorhea, fever/ pyrexia

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4
Q

Treatment of sinusitis? (4)

A

Nasal decongestant= xylometazoline

Broad spec AB - coamoxiclav

Topical corticosteroid - fluticasone propionate nasal spray

FESS for drainage surgically

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5
Q

What is rhinitis generally?

Name the 2 types

A

Sneeze attack. Nasal blockage. Most days

Seasonal

Persistent

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6
Q

Treatment of rhinitis (4)

A

Antihistamines

Topical corticosteroids

CysLT antagonists - montelukast

Anti inflammatory drugs - sodium cromoglicate

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7
Q

Describe symptoms of each type of rhinitis

A

Seasonal - less severe. Hay fever. Itchy eyes ears soft pallete. Wheeze and sneeze

Persistent - nasal block, rhinorhea. Loss of smell and taste. Totally block up man!!

P can be allergic or non.

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8
Q

What is Socrates

A 
Site 
Onset 
Character 
Radiate 
Associated symptoms 
Timing 
Exacerbate or relief 
Severity - 1😀 to 10 🤮🤢🤑🤕😷🤧🤒
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9
Q

What is pharyngitis?

3 symptoms

A

Endemic. Adenovirus infection

🎈Red oropharynx causes a sore throat
🔥 fever.
👁 conjunctivitis.
Tonsillitis lymph node enlargement.

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10
Q

What happens in acute laryngotracheobronchitis ??

What does it follow?

A

Inflammatory oedema in - what area?? That can spread to vocal cords

URTIs likes Parainfluenza or measles

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11
Q

Treatment of laryngotracheobronchitis ?? 4

When v serious?

A

👃 Nebulised adrenaline

Oxygen and lots of fluid

👄 or 💪🏻 corticosteroids - dexamethasone

Tracheostomy is rare!

Serious In children under 3 👶

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12
Q

Which influenza causes pandemics?

Complications of either? 2

A

A - pandemics
B - endemics

Secondary bacterial infection eg pneumonia
Encephalomyelitis - ? Rare

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13
Q

What can be given for flu within 48h?

A

Neuronidase inhibitors

Zanamivir or oseltamivir

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14
Q

Test to prove flu?

A

Increase in complement fixing antibody between onset and after 2 weeks

Called hemagglutinin !!

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