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Flashcards in Upper Respiratory Infections aka colds Deck (20)
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1
Q

what are the six URI syndromes

A
cold
URI
Bronchitis
Otitis
Sinusitis
Pharyngitis
Epiglotitits
2
Q

Etiologies of URIs

A
all are viruses thus there is zero role for antibiotics 
-rhinovirus
-enterovirus (Coxsackie virus A)
-RSV
Coronavirus
3
Q

characteristics of URIs

A

viral

lasts 7-10 days (3 days coming, 3 days going, 3 days leaving)

4
Q

pharyngitis prevalence

A

sore throat

70% viral in kids 90% in adults

5
Q

bacterial causes of pharyngitis

A

Group A strep, diphtheria, pertussis

6
Q

Characteristics of Group A pharyngitis

A
sudden onset
fever
headache
n/v/d
pharyngeal inflammation
discrete exudate
tender cervical nodes
ages 5-15
winter to spring
exposure
NOT a cough
congestion
conjunctivitis
7
Q

Otitis prevalence

A

84% of kids 1 episode, 50% more than 4

50% viral

8
Q

bacteria causes of otitis

A

pneumonia, H. flu, moraxella

9
Q

otitis is common following what?

A

a URI

10
Q

do you usually have a fever with otitis?

A

60% no

11
Q

do antibiotics have value in otitis?

A

not really

12
Q

Sinusitis

A

more common in adults
follows URIs
Most viral, but same bacteria as otitis

13
Q

sinusitis symptoms

A
facial pain
headache
maxillary teeth pain
opacity by transillumination
x-rays not specific
14
Q

epiglotitis

A

NOT A COLD medical emergency\

caused by Haemophilis influenzae

15
Q

symptoms of epiglotitis

A

dysphagia(difficulty swallowing) , drooling stridor(can’t take a breath in)

16
Q

what do you need to do diagnose?

A

lateral neck x-ray and protect airway

17
Q

how to diagnose URIs

A

throat culture or rapid test

18
Q

treatment of URIs

A
treat group A
Treat epiglottitis 
Don't treat others unless:
complicated course
immunosuppressed
19
Q

what there any difference in augmentin vs placebo in sinusitis and otitis?

A

nope

20
Q

with bronchitis was there any difference in taking an antibiotic on the outcome?

A

no it was the same as no antibiotic