25. Paediatrics Respiratory 3 - Chronic Conditions Flashcards
1
Q
Common chronic respiratory:
A
- Chronic cough
- Cystic fibrosis
- Primary Ciliary Dyskinesia
- Non-CF
- OSA
2
Q
Cystic fibrosis:
A
Chloride channel defect affecting lung/liver/gut/pancreas
3
Q
Cystic fibrosis diagnosis:
A
Newborn screening for CF, Sweat test
4
Q
Treatment for CF:
A
- Physiotherapy and exercise
- Bronchodilators or steroids
- Enzyme replacement therapy
- DNA breakdown enzymes
- Gene therapy
- Lung and heart transplant
5
Q
Primary Ciliary Dyskinesia:
A
Recurrent ear infections, runny nose, wet cough, hearing problems, wheezing, SOB, clubbing
6
Q
Diagnosis of primary ciliary dyskinesia:
A
- Nasal nitric oxide
- Ciliary brushing
- Genetics
- CXR
- CT chest
- Bronchoscopy
7
Q
Treatment of Primary Ciliary Dyskinesia AND Bronchiectasis
A
- Monitoring and treatment for exacerbations
- Optimise nutrition and psychosocial concerns
- Airway clearance techniques, no smoking, up to date vaccinations
8
Q
Bronchiectasis causes:
A
CF, PCD, Bronchiolitis, Infection
9
Q
Investigations for bronchiectasis:
A
- Sweat test
- Bronchoscopy
- Sputum samples
- Spirometry
10
Q
OSA symptoms:
A
- Snoring
- Morning headache
- Abnormal breathing pattern
- Midline craniofacial abnormalities
- Large tongue, retracted chin, narrowed airways
- Muscle weakness and hypotonia
11
Q
Treatment for OSA:
A
Airway adjuncts or adenotonsillectomy
Non-invasive ventilation (CPAP)
