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Flashcards in Upper resp infections Deck (31):
1

how many colds do people get/year

adults - 2-5
kids 6-8

2

what causes colds

viruses - 200 types- corona, rhino etc

3

presentaion of cold

intial - sore throat malaise
1-2 days - nasl congestion/discharge
duration - peak 3-4 days, resolve 7-10 days

4

Tx for colds

NOT antibiotics
- topic decongestant for 3 days max
- topical Atrovent - over 6 yo
codeine syrups not reccomended

5

what is acute sinusitis

inflammation of paranasal sinuses

6

clinical course of sinusitis

initial - URI followed by persistence >7 days or worsening after 5
followed by - purulent or bloody discharge AND pain
other Sx - headaches, cough, pain worse on bending
duration

7

microbiol of sinusitis

mostly viral
some bact. - strep pneumoniae, Haem. influenzae

8

key to diagnosis of acute bact. sinusitis

PODS = 2 of
P - pain facial pain
O - nasal obstruction
D - purulent Discharge
S - hyponosomia - less SMell

9

when to use ABs in rhinosinitis

persistence >7 days or worsening after 5

10

what is effect of ABs in sinusitis

with AB 77% improve, 60% without - most improve without!!

11

main AB for sinusitis

amoxicillan

12

adjuvent Tx of sinusitis

- analgesia
- decongestnats
- nasal irrigation
- steam inhalation
- nasal steroids NOT helpful

13

when to refer sinusitis to specialist

- anatomic abnormalities
- complications
- 4+ per year
- not repsonding to meds

14

microbio of pharyngitis

viral 50-80%
group A strep in 5-36%

15

what is epi of strep pharyngitis

late fall to early spring
- 5 -12 year olds most common
- contact transmission

16

clinical course of strep throat

- sore throat, fever, tonsillar erethyma
- usually self limited

17

why treat strep throat

prevent rheumatic fever and peri-tonsillar abscess

18

2 tests for strep

1. throat swab and culture - gold stnadard - 48 hrs
2. rapid antigen detection test - 15min - sens only 80%

19

treat of strep

penicillin - if allergic erythromycin

20

what is hand foot and mouth

coxsackie virus - mild, but causes skin lesions

21

when to remove tonsils

- 6 episodes tonislitis per year
- recurrent absceses
- very alrge tonsils

22

cause of mono

eprstein barr virus

23

Sx of mono

sore throat, fever, lymphadenopathy

24

tests for mono

mono spot for IgM ABs
CBC for lymphocytosis

25

complications of mono

neuro, upper airway obstruciton, speen rupture

26

3 other causes of phayngitis

1. gonococcal
2. oral thrush
3. lemierre's

27

what is croup

term used to describe laryngeotracheitis

28

when to worry about croup

- drooling
- dysphagia
- toxic appearance

29

what is acute bronchitis

acute resp infection manifested primarily by cough with ror without phlegm

30

cause of bronchitis

90% viral - self limiting

31

what is treatment of acute bronchitis

not ABs - rule out asthma and COPD

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