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Flashcards in URTI Deck (24)
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1
Q

What does the URT include?

A

Epiglotis/larynx upwards

2
Q

What are some bacterial infections?

A

Strep throat
UTI
Whooping cough
Sinusitis (almost always)

3
Q

What are some viral infections?

A

Flu
Bronchitis (almost always)
Common cold

4
Q

What are some infections that can be bacterial or viral?

A

Pneumonia

Ear infection

5
Q

What are the disadvantages of using antibiotics?

A
Diarrhoea
Oral thrush
Nappy rash
Allergic reaction
Multi resistance
6
Q

How might you tell if a child is at the peak of their illness or not?

A

Ask parents - are they getting better?

Review by parents

7
Q

What is rhinitis?

A

Very common, 5-10 per year
Winter months
Self-limiting condition

8
Q

Rhinitis is a prodrome to which other illnesses?

A

Pneumonia, bronchiolitis
Meningitis
Septicaemia

REVIEW IF UNSURE

9
Q

What is otitis media?

A

Common
Self-limiting
Infection of the middle ear that causes inflammation (redness and swelling) and a build-up of fluid behind the eardrum
Spontaneous rupture of the drum
Typically 3 days of symptoms but can last up to 7

10
Q

How might otitis media look?

A

Erythema
Bulging drum
Loss of normal light reflex

11
Q

What causes otitis media?

A

BACTERIAL OR VIRAL
Primary viral infection
Secondary infection with Pneumococcus/H’flu

12
Q

When do you treat otitis media?

A

Severe uni and bi lateral = >6 months, severe pain >48hrs
Non-severe bilateral 6-23 months

HARD TO TELL
GUIDANCE USELESS

NICE OM

13
Q

Should you use augmentin?

A

No

Benefits do not outweigh harm

14
Q

So how do you treat OM?

A

Analgesia works for sure

The jury is out for antibiotics

  • Antibiotics may work >24 hours
  • First do no harm?

The end point is the same

15
Q

What is tonsillitis/pharyngitis?

A

Sore throat

Viral or bacterial?

16
Q

How is causative organism of tonsillitis/pharyngitis confirmed?

A

Throat swab

17
Q

How should you treat tonsillitis/pharyngitis?

A

Swab takes 48 hrs to come back
Either nothing or 10 days penicillin
Don’t give amoxycillin - due to EBV

18
Q

Can you tell the difference between EBV and Group A Strep visually?

A

No

19
Q

What is croup?

A

Laryngotracheobronchitis (LTB)
Parainfluenza 1
COMMON
WELL

20
Q

What are the signs of croup?

A

Coryza++ (cold symptoms), stridor, hoarse voice, “barking” cough

21
Q

What is the treatment of croup?

A

Oral dexamethasone (corticosteroid)

22
Q

What is epiglottis?

A

H. influenzae Type B
RARE
TOXIC

23
Q

What are the signs of epiglottis?

A

Stridor, drooling

24
Q

What is the treatment of epiglottis?

A

Intubation and antibiotics

Tube in before trachea completely closes