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Y4R6 - Pediatrics II 👶 > L2: Acute Bronchiolitis > Flashcards

L2: Acute Bronchiolitis Flashcards

1
Q

Def of Acute Bronchiolitis

A
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2
Q

Incidence of Acute Bronchiolitis

A

Most common lower respiratory tract infection in infant < 2 years

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3
Q

Season of Acute Bronchiolitis

A

Winter - Spring

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4
Q

Age of Acute Bronchiolitis

A
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5
Q

Sex in Acute Bronchiolitis

A

Hospitalization for bronchiolitis occurs more frequently in Male > Female

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6
Q

RF for Acute Bronchiolitis

A
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7
Q

Etiology of Acute Bronchiolitis

A
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8
Q

Etiology of Acute Bronchiolitis

  • Most Common
A

Respiratory syncytial virus (RSV)

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9
Q

Pathogenesis of Acute Bronchiolitis

A
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10
Q

Pathogenesis of Acute Bronchiolitis

  • Type of Cells
A

neutrophils

“even Though Viral infection”

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11
Q

RSV bronchiolitis is rare during the first 6 weeks due to ……

A
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12
Q

CP of Acute Bronchiolitis

A
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13
Q

CP of Acute Bronchiolitis

  • Symptoms
A
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14
Q

Symptoms of Acute Bronchiolitis

  • Prodorme
A
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15
Q

Symptoms of Acute Bronchiolitis

  • Severe RD
A
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16
Q

Symptoms of Acute Bronchiolitis

  • Progressive recovery phase
A

3 weeks

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17
Q

Signs of Acute Bronchiolitis

A
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18
Q

Signs of Acute Bronchiolitis

  • Inspection
A
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19
Q

Signs of Acute Bronchiolitis

  • Palpation
A

Palpable wheezes

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20
Q

Signs of Acute Bronchiolitis

  • Percusion
A

Hyper-resonance

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21
Q

Signs of Acute Bronchiolitis

  • Auscultation
A
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22
Q

Signs of Acute Bronchiolitis

  • Others
A
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23
Q

Evaluation of Acute Bronchiolitis

24
Q

Evaluation of Acute Bronchiolitis

  • Goals
25
Q

Evaluation of Acute Bronchiolitis

  • Severity Assessment
26
Q

Evaluation of Acute Bronchiolitis

  • Criteria for Hospitalization
27
Q

Clinical Course of Acute Bronchiolitis

28
Q

Complications of Acute Bronchiolitis

29
Q

INVx for Acute Bronchiolitis

30
Q

INVx for Acute Bronchiolitis

  • Labs
31
Q

INVx for Acute Bronchiolitis

  • rads
32
Q

INVx for Acute Bronchiolitis

  • Etiological Diagnosis
33
Q

INVx for Acute Bronchiolitis

  • Significance of INVx?
34
Q

DDx of Acute Bronchiolitis

35
Q

DDx of Acute Bronchiolitis

  • Mainly
A

Viral Pneumonia
- Consolidation without hyperinflation

36
Q

Possible Associations of Acute Bronchiolitis with asthma

37
Q

TTT of Acute Bronchiolitis

38
Q

TTT of Acute Bronchiolitis

  • General Measures
39
Q

Main Line in TTT of Acute Bronchiolitis

A

General Measures

40
Q

General Measures in TTT of Acute Bronchiolitis

  • O2
A

Mandatory

  • It can be provided by nasal cannula, head box, or face mask
  • The goal is to maintain sao > 90 - 92%
41
Q

General Measures in TTT of Acute Bronchiolitis

  • Nasal Bulb Suction & Saline Nasal Drops
A

To relieve partial nasal obstruction

42
Q

General Measures in TTT of Acute Bronchiolitis

  • IV Fluids
A

To avoid dehydration & aspiration

43
Q

General Measures in TTT of Acute Bronchiolitis

  • ICU Monitoring
A

With severe distress or apnea

44
Q

General Measures in TTT of Acute Bronchiolitis

  • Mechanical Ventilation
A

Indications:
- paco2 > 55 mmHg, hypoxemia despite O2, and/or apnea

45
Q

Causes of Dehydration in Acute Bronchiolitis

46
Q

Causes of Fluid Retention in Acute Bronchiolitis

47
Q

Pharmacologic TTT in Acute Bronchiolitis

48
Q

Pharmacologic TTT in Acute Bronchiolitis

  • Inhaled Bronchodialators
49
Q

Pharmacologic TTT in Acute Bronchiolitis

  • Hypertonic Saline Nebulizer
50
Q

Pharmacologic TTT in Acute Bronchiolitis

  • Glucocorticoides
51
Q

Pharmacologic TTT in Acute Bronchiolitis

  • Antibiotics
52
Q

Pharmacologic TTT in Acute Bronchiolitis

  • Montelukast
53
Q

Pharmacologic TTT in Acute Bronchiolitis

  • Ribavirin
54
Q

…… bronchodilators & ……. glucocorticoids MCQ
are not recommended in the management of acute bronchiolitis

A
  • Oral bronchodilators
  • inhaled glucocorticoids
55
Q

Discharge Criteria in Acute Bronchiolitis

Y4R6 - Pediatrics II 👶 (32 decks)

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