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PEDS 7500 > CLIPP 13 > Flashcards

CLIPP 13 Flashcards

1
Q

chronic cough in kids duration

A

> 4 w

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2
Q

6 yo RR

A

12-20

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3
Q

acute complaints is what hour timeframe

A

<72h, and likely d/t infection or precipitating event like trauma

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4
Q

dry cough

A

environmental irritant, asthma, fungal infection

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5
Q

barking cough

A

croup, subglottic disease or foreign body

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6
Q

brassy or honky cough

A

habitual cough, tracheitis

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7
Q

paroxysmal cough

A

pertussis, Chlamydia, mycoplasma, foreign body

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8
Q

worse at night cough

A

asthma, sinusitis, allergies - can result in post nasal drip–>nocturnal cough

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9
Q

cough disappears at night

A

habitual cough

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10
Q

cough w/ gag or choke

A

gastroesophageal reflux

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11
Q

what can lobar pna in lower quadrants mimic

A

APPY

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12
Q

dysphonia or hoarseness could be due to

A

laryngeal irrutaiton due to gerd orchronic rhintiis

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13
Q

serious condition presenting w wheeze and cough that mimics asthma or bornchitis

A

infectious myocarditits

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14
Q

headaches plus a cough

A

sinusitis often

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15
Q

heritable cough things

A

ashtma, immunodef, cf

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16
Q

a dx to consider w/ male sterility

A

primary ciliary dyskinesia

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17
Q

sx and radiology findings in peds pulm tb

A

sx are few to none compared to radiology findings which include a primary complex (large size of hilar LAD) with sequence going from hilar LAD to hyperinflation and atelectasis

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18
Q

PPD TST test positivity markers

A

A test is considered positive if it is: > 5 mm in high-risk children, > 10 mm in moderate-risk children and > 15 mm in low-risk children.

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19
Q

common asthma trigger

A

URI

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20
Q

peds bronchitis findigns and tx

A

sputum production, cough equal at day and ngith with no change in sx based on night or cold air or workout
-does not require abx tx

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21
Q

atypical pna presenation

A

cough can persist for 8-12weeks, worse in cold air/workout, , URI sx, abnl breath sounds,

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22
Q

habit cough

A

A habit cough is caused by habitual perpetuation of cough begun with a viral upper respiratory infection.
Continued coughing irritates the airway further, leading to a stronger stimulation to cough.
The cough is typically very loud, short, dry, brassy and spasmodic.
A habit cough is unchanged by exercise or cold air and classically resolves during sleep.

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23
Q

what is one of the most important distinguishing characteristics of a sinusitits

A

persisting ssx w/o improvement as viral URI tends to improve over the course of a week or so.

24
Q

pale edematous turbinates aka and seen in

A

boggy, nasal allergies , can be concurrent w/ sinusitis

25
Q

cobblestoning is

A

lymphoid hyperplasia of posterior pharynx due to chronic PND and most often seen in kids w/ chronic allergic rhinitis

26
Q

in which types of pt are nasal polyps often seen

A

cf, astham, aspirin sensitive

27
Q

3 criterion in dx sinusitis

A

Persistence of bilateral nasal discharge of any quality or daytime cough, or both, lasting for more than 10 days without significant improvement (unilateral symptoms suggest a nasal foreign body), OR
Worsening after initial improvement (“double-sickening”) OR
High fever and purulent nasal discharge for more than 3 days.

28
Q

1st line tx for sinusitis

A

amox w or w/o clav

29
Q

wheezing is the sound of

A

airflow thru narrow airways

30
Q

accessory muscles of respiration

A

inspiratory contraction of SCM at rest = severe resp distress

31
Q

hyperrres vs dullness

A 
hyper = air
dull = lobar consolidatin or atelec
32
Q

egophany

A

ee–>ay sound, due to lobar consolidation aka airless lung

33
Q

I:E ratio

A

full inspiration time to full expiration time, normally 1:2, or 1:# but in obstruction, expiration is prolonged thus ratio down

34
Q

2 ways in which crackles and ronchi differ

A

crackles inspiratory, discontinuous

ronchi expiratory, continous

35
Q

ronchi due to

A

mucous, secretion in airway

36
Q

atopy defn and causes

A

Atopy is defined as the genetic predisposition for the development of an IgE-mediated response to common aeroallergens, leading to the development of allergic rhinitis, asthma, and atopic dermatitis (eczema).
- due to genetics and environ

37
Q

the 3 most common indoor aeroallergens that sensitize people are

A

house dust mites, animal dander, cockroaches

38
Q

most specific way of determine presence or absence of reversible airway obstruction

A

spirometry before and after bronchodil therapy if at least 5-6yo

39
Q

Bronchoprovocation with methacholine, histamine or exercise challenge

A

reserved for pts w normalish spiro but still suspected ashtam

40
Q

overreliance on SABA

A

using 1 cannister/motnh even if not using it every day

41
Q

pathophysi of asthma

A

biphasis

  1. lasts 1 h - allergen triggers, mast cells and eos release PG and leukotirenes –>permeability, hyper secretion, bronchoconstriction
  2. 2-3h later - worst by 4-8h, resolves by 24h, neuts eos lymphocyte infiltratio–>hyperplaia of bronchial smooth musc
42
Q

common ics in asthma and what to monitor for

A

budesonide, beclamethasone, fluticasone - monitor for htn, growth delay, glucose, cataracts

43
Q

who should be on ICS

A

any pt w/ persistent asthma - mild , mod , or severe

44
Q

In well controlled asthma, SABA should not be required more than __ x per week

A

2

45
Q

what is cromolyn sodium

A

an inhaled NSAID

46
Q

who is at rsk for severe varicella infection

A

kids on inhaled or systemic steroid

47
Q

PF meter

A

air exhaled in L/s, is effort dependent so poor effort = poor # and poor results

48
Q

exercise induced brochospoasm

A

haracterized by severe bouts of bronchospasm triggered only by exercise or cold air; may also be a marker for poorly controlled asthma.

49
Q

cough variant ashtam

A

presents only w/ cough

50
Q

non productive nocturnal cough

A

cough variant asthma is one possib

51
Q

AAP based on

A

daily sx and peak flow readings

52
Q

f/u intervals for asthma

A

q2-6 weeks til asthma is stabile then 1-6 month intervalsq

53
Q

most approp way to use peak flow

A

use kids personal best -avg of 14 days of values when control is good

54
Q

what is peak flow not good for

A

dx - use oft isntead

55
Q

intermitent astham

A

fewer than 2 d/week or 2 NIGHTS/month

56
Q

moderate astham

A

dialy sx w/more than one NIGHT/week

57
Q

mild persis astham

A

3-6d/w and 3-4NIGHTS/month

PEDS 7500 (32 decks)

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