040615 cough Flashcards
when is RSV common?
winter
how do you tx RSV
fluids
signs of parainfluenza virus
seal barking cough
in young
clubbing of fingers, diarrhea
cystic fibrosis
what is a reason why infants younger than 2 months can have trouble breathing?
congested nose (but if older than 2 months, not so much applicable)
6 mo male w hx of cough, runny nose, difficulty breathing at times-differential?
- URI
- sinusitis (however, 6 mo old is not well-aerated at this age, so sinusitis would be rare)
- pneumonia
- asthma
- bronchiolitis (RSV most common)
- foreign body aspiration
what can cause cough (mechanism wise)?
irritants (in nose, etc)
what does grunting tell you?
there’s something in lungs that compliance has decreased as a result. grunt to try to compensate
if you suspect bronchiolitis in infant, why are viral studies not needed?
b/c it doesn’t change what you would do—would still just respond by treating the symptoms even if you knew the virus
bronchiolitis-what imaging finding would you look for
hyperinflated lungs
fever for bronchiolitis is how high?
NO FEVER or LOW GRADE (under 101)
bronchiolitis-clinical pic
lower resp tract infec in 2month-2year old, most often viral (RSV most common)
symptoms for sinusitis
day and night cough
sinus tenderness
post nasal drip
symptoms for bronchitis
in peds, likely reactive airway disease
wheezing
cough
symptoms for influenza
sudden onset high fever myalgia cough sore throat seasonal
when would you get CBC for ped pt w cough?
if suspect serious infec, to make sure there’s no DIC
most common cause of community acquired pneumonia
strep pneumo
what age group gets mycoplasma and chlamydia pneumonia?
older kids
atypical pneumonia-usually more or less sick appearing than bacterial pneumonia?
less
normal CXR doesn’t rule out pneumonia: true or flase
true
tx for CAP for outpatient young child
amoxicillin
tx for CAP for outpatient adolescent
azithromycin (to cover for walking pneumonia (atypical))
tx for CAP for inpatient young child
ampicillin or cephalosporin
plus azithromycin
CXR: differentiating viral vs bacterial
viral is less involvement, patchy
