13. Infection des voies respiratoires supérieures (IVRS) = URTI

Question 1

IVRS (URTI) durée habituelle (common cold)

Answer 1

Usual 1.5w course

Question 2

Sinusitis sx (PODS)

Answer 2

facial Pain, pressure, or fullness;

nasal Obstruction;

nasal purulence or discoloured postnasal Discharge;

Smell disorder

Question 3

Indications to consider X-ray

Answer 3

Hemoptysis
Pleuritic chest pain
Dyspnea
Systemic symptoms (fever, tachycardia >100, tachypnea>24)
Abnormal physical exam (crackles, decreased breath sounds, bronchial breathing)

Question 4

influenza treatment - when to consider

Answer 4

sx <48 h

• Severe disease (requiring hospitalization or evidence of lower respiratory tract infection, eg. dyspnea, tachypnea, oxygen desaturation)
• High risk for complications (pregnancy)

Most efficacious within first 48h of illness, but indicated to treat if severe illnessor pregnancy

Question 5

influenza treatment

Answer 5

oseltamivir (Tamiflu) 75mg PO BID x 5d

Zanamivir (Relenza) two inhalations (10mg) PO BID x 5d

Question 6

who should get flu vaccine

Answer 6

Flu vaccine:
6mo-5yo,
≥65yo,
chronic disease,
pregnancy/postpartum,
healthcare worker,
frequent contact with above)

Question 7

who should get Pneumococcal 23-valent
vaccine

Answer 7

≥65 years old

or if specific risk factors:
- Premature infants should receive immunizations at the same time (chronological age): do not delay vaccine

• Asplenia/Hyposplenia ** pneumococal inf most common in asplenia
• chronic liver disease

Question 8

cough duration could go up to

Answer 8

2-3 weeks