1 - Paeds - Resp - URTI

Question 1

% of RTIs? includes which body parts? includes which presentations?

Answer 1

80%
nose, throat, ears, sinuses
common cold (coryzal), sore throat (pharyngitis, tonsillitis), AOM, Sinusitis

Question 2

why might admission be needed for infants?

Answer 2

need to r/o more serious infection
inadequate feeding
or parental reassurance

Question 3

common presentation of URTI

Answer 3

nasal discharge/blockage, fever, painful throat, earache, cough may be troublesome

Question 4

URTIs may cause? (3)

Answer 4

acute exacerbation of asthma
febrile convulsions
feeding difficulty in infants > blocked nose/obstructed breathing

Question 5

common cold - pathogens? advise parents how? mgmt?

Answer 5

commonly viral - RSV, coronavirus, rhinovirus
advise - self-limiting and has no curative treatment
paracetamol/ibuprofen for fever/pain - ABx unnecessary

Question 6

sore throat (pharyngitis) what happens?

Answer 6

soft palate/pharynx inflam

local LNs enlarged/tender

Question 7

sore throat pathogens?

Answer 7

usually viral - adenovirus, enterovirus, rhinovirus

Gr A B-haemolytic strep common in older kids

Question 8

sinusitis - what may occur with viral URTIs? occasionally what happens?

Answer 8

infection of paranasal sinuses may occur with viral URTIs

occ secondary bact infection with pain swelling, and cheek tenderness due to maxillary sinus infection

Question 9

mgmt of acute sinusitis?

Answer 9

ABx, analgesia, topical decongestants

Question 10

advice to parents caring for child with URTI

Answer 10

mgmt should be using
reassurance
signs to look for to indicate it is worsening