CLIPP 12 - Foreign Body Flashcards
1
Q
DDX wheezing (7)
A
- viral bronchiolitis
- asthma
- foreign body aspiration
- GERD
- tracheomalacia
- extrinsic compression
- cystic fibrosis
2
Q
Components of an asthma history (3)
A
- prior hospitalizations
- ICU admissions
- intubations
3
Q
Signs of respiratory distress (6)
A
- paradoxical breathing (chest draws inward on inspiration)
- tachypnea (hyperpnea vs hypopnea)
- retractions (accessory muscle use)
- nasal flaring (nares enlarge during inspiration)
- grunting (forced expiration against partially closed glottis)
- head bobbing (Accessory muscle use)
4
Q
DDX cough (5)
A
- URI
- pneumonia
- post-nasal drip (allergies/sinusitis)
- foreign body aspiration
- GERD
5
Q
Bordatella Pertussis (course, complications, immunization)
A
- course: triphasic (catarrhal/URI - 1-2wks, paroxysmal/whoop 4-6wks, convalescent-months)
- complications: difficulty feeding, apnea
- immunization: acellular vaccine recommended for all children
6
Q
Epiglottitis (8 symptoms)
A
- uncommon since Hib vaccine
- fever, stridor, drooling, dysphonia, dysphagia, respiratory distress
- sniffing position
- thumb sign
7
Q
Diphteria (1 symptom)
A
- uncommon is US due to immunization
- grey pseudomembrane
8
Q
Asthma pathophys (4)
A
- infiltration of inflammatory cells into airway mucosa
- mucus hypersecretion
- mucosal edema
- bronchoconstriction
9
Q
Acute asthma presentation (7)
A
-cough, wheezing, tachypnea, dyspnea, diminished air exchange, cyanosis, pulsus paradoxus
10
Q
asthma radiographic findings (3)
A
- hyperinflation
- increased interstitial markings
- patchy atelectasis
11
Q
bronchiolitis (causes, symptoms, CXR findings, treatment)
A
- viral disease of lower respiratory tract (RSV, influenza, parainfluenza)
- cough, wheezing, dyspnea, fever
- hyperinflation, increased interstitial markings, peribronchial cuffing, scattered atelectasis on CXR
- supportive treatment
12
Q
Pneumonia (causes, symptoms, treatment)
A
- adenovirus, RSV, parainfluenza, influenza
- GBS, E. coli, Klebsiella (neonates)
- C. pneumonia (staccato cough), Strep pneumo, mycoplasma
- URI, worsening cough, fever, tachypnea, crackles
- treat bacterial pneumonia with abx
13
Q
Croup (causes, findings, treatment)
A
- parainfluenza, rhinovirus, RSV, influenza, adenovirus
- steeple sign (narrowed subglottic region)
- barky cough
- supportive care
14
Q
Wheezing Radiographic studies (3)
A
- inspiratory/expiratory (unilateral airtrapping)
- PA (hemidiaphragm flattening)
- R/L decubitus (mediastinal shift)
15
Q
cough history key information (8)
A
- oral intake
- fever
- witnessed foreign body ingestion
- onset
- hoarseness
- barky cough/wheezing/stridor
- immunization status
- other medical problems