CLIPP 12

Question 1

Causes of wheezing in infants and toddlers

Answer 1

Most common:

• viral bronchitis
• athma
• foreign body aspiration
• GE reflux

Less common:

• tracheomalacia
• extrinsic compression
• CF

Question 2

What are 6 signs of respiratory distress? Which one is a sign of very severe respitatory distress?

Answer 2

paradoxical breathing (severe!!)

tachypnea

retractions

nasal flaring

grunting

headbobbing

Question 3

What are the 3 phases of pertussis?

Answer 3

catarrhal (lasts 1-2 weeks)

paroxysmal (lasts 4-6 weeks) (whooping cough in this stage)

covalescent

Question 4

What is almost always the cause of epiglottitis? Are emergent interventions required?

Answer 4

Hib

yes! You need to secure the airway

Question 5

What bug can cause pharyngitis with pseudomembranes?

Answer 5

diphtheria

Question 6

How do you treat acute asthma exacerbations?

Answer 6

corticosteroids and beta-2 agonist along with supportive care for hypoxemia or dehydration

Question 7

What is the microbe that commonly causes bronchiolitis? What is treatment?

Answer 7

RSV

influenza and parainfluenza may cause bronchiolitis

supportive treatment

Question 8

what is the most common cause of pneumonia in children: virus or bacterial?

Answer 8

virus

Adenovirus, RSV, parainfluenza, influenza

Question 9

What are the radiographic findings and lab findings for viral and bacterial pneumonia?

Answer 9

Question 10

What is the treatment for viral pneumonia? bacterial pneumonia?

Answer 10

viral = supportive

bacterial = appropriate antibiotics and supportive care

Question 11

what is another name for croup? What is is commonly caused by? how do you treat it?

Answer 11

laryngotracheobronchitis

parainfluenza virus

supportive, racemic aerosolized epinephrine can be used, dexamethasome can reduce severity of symptoms