15. Upper Respiratory Tract Infection Flashcards
1
Q
What types of upper respiratory tract infections can you get?
A
Rhinitis Tonsillitis Otitis media Pharyngitis Laryngitis Epiglottitis
2
Q
What types of lower respiratory tract infections can you get?
A
Tracheitis Laryngotracheobronchitis (Croup) Bronchitis Bronchiolitis Alveoli's Empyaema Pneumonia/itis
3
Q
What are the viral infective agents?
A
Adenovirus Influenza A, B Para’flu I, III RSV Rhinovirus
4
Q
What are the bacterial infective agents?
A
H influenzae M catarrhalis (Mycoplasma) (S aureus) Streptococci B haemolytic, S pyogenes Non haemolytic, S pneumoniae
5
Q
Are URTIs common?
A
Yes
6
Q
What are the facts about Rhinitis?
A
Very common, 5-10 per year Winter months Self-limiting condition Prodrome to other illnesses - Pneumonia, bronchiolitis - Meningitis - Septicaemia (Runny nose)
7
Q
What are the facts about Otitis media?
A
Common, self-limiting Not “a bit pink” Primary viral infection Secondary infection with Pneumococcus/ H’flu Spontaneous rupture of drum Antibiotic treatment usually doesn’t help 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
8
Q
What are the facts about Tonsillitis/pharyngitis?
A
Common The dilemma is…. Viral or bacterial? Throat swab Either nothing or 10 days penicillin Don’t give amoxycillin
9
Q
What are the facts about croup?
A
Para'flu I Common Well Symptoms: Coryza ++, Stridor, Hoarse voice, "barking" cough Treatment: Oral dexamethasone
10
Q
What are the facts about Epiglottitis?
A
H. influenza type B Rare Toxic Symptoms: Stridor, Drooling Treatment: Intubation and antibiotics
