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Y4R6 - Pediatrics II 👶 > L6: URT Infections > Flashcards

L6: URT Infections Flashcards

1
Q

Classification of Upper Respiratory tract Infections

A
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2
Q

Def of Viral Croup

A
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3
Q

Incidence of Viral Croup

A

Most common upper respiratory tract infection in infant “15% of children”

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4
Q

Season of Viral Croup

A

More common in winter “parainfluenza virus”

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5
Q

Age of Viral Croup

A

6 months – 5 years “Peak ⇢ 2 years”

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6
Q

Sex in Viral Croup

A

Male > female

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7
Q

Viral Croup

  • Not Common Before …..
  • Rarely Lasts ……
A
  • uncommon in the first 6 months of life, Subglottic stenosis or hemangioma should be considered
  • Viral croup rarely lasts > 10-14 days, Prolonged stridor may be caused by subglottic stenosis or hemangioma
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8
Q

Etiology of Viral Croup

A
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9
Q

Pathogenesis of Viral Croup

A
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10
Q

CP of Viral Croup

A
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11
Q

CP of Viral Croup

  • Symptoms
A
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12
Q

INVx for Viral Croup

A
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12
Q
  • Croup is usually a self-limited illness, and the cough typically resolves within 3 days.
  • Other symptoms may persist for 7 days, with a gradual return to normal.
  • Deviation from this expected course ⇢ consider diagnoses other than Croup
A

…

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13
Q

CP of Viral Croup

  • Signs
A
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14
Q

INVx for Viral Croup

  • X-Ray
A
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15
Q

INVx for Viral Croup

  • Pulse Oximetry
A

For hypoxia detection

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16
Q

DDx of Viral Croup

A
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17
Q

Viral Croup

  • Westley Croup Score
A
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18
Q

TTT of Viral Croup

A
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19
Q

TTT of Viral Croup

  • No ……
A
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19
Q

TTT of Viral Croup

  • Yes to …..
20
Q

TTT of Viral Croup

  • CTS (Action, Dose)
21
Q

TTT of Viral Croup

  • Epinephrine (Action, Dose, Route, Frequency, Indication)
22
Q

Prognosis of Viral Croup

23
Q

TTT of Viral Croup
- Approach acc to seminar

24
Q

TTT of Viral Croup

  • Discharge Criteria
25
Q

TTT of Viral Croup
- Admit Criteria

26
Q

Def of Epiglotittis

27
Q

Incidence of Epiglotittis

A

Rare “Due to Hib vaccine”

28
Q

Age in Epiglotittis

A

1 – 5 years “75%” “mean ⇢ 40 months

29
Q

Sex in Epiglotittis

A

Male > female

30
Q

Etiology of Epiglotittis

A

Hemophilus influenza type B

31
Q

Pathogenesis of Epiglotittis

A

Direct invasion by Hib causes cellulites with marked edema of:
- Epiglottis, Aryepiglottic folds, Ventricular bands, Arytenoids

32
Q

CP of Epiglotittis

33
Q

INVx for Epiglotittis

34
Q

INVx for Epiglotittis

  • Rads
35
Q

INVx for Epiglotittis

  • Labs
36
Q

TTT of Epiglotittis

37
Q

TTT of Epiglotittis

  • attend
A

By an individual skilled in resuscitation in ICU

38
Q

TTT of Epiglotittis

  • Avoid
A

◈ Examination of throat
◈ Extensive clinical examination
◈ Blood test
◈ Transport delay
◈ Unnecessary stress

39
Q

TTT of Epiglotittis

  • Airway secure
A

◈ Elective nasotracheal intubation “TTT of choice”

◈ Tracheostomy “replaced by safer nasotracheal intubation”

40
Q

TTT of Epiglotittis

  • Antibiotics
A
  • 2nd & 3rd generation cephalosporins
  • Ampicillin & Sulbactam
41
Q

TTT of Epiglotittis

  • Adrenaline
A

Has no role

42
Q

TTT of Epiglotittis

  • Supportive TTT
A

◈ I.V. fluids
◈ O2
◈ Sedation & mechanical ventilation

43
Q

Allergic Rhinitis “Hay Fever”

44
Q

Viral Rhinitis “Common cold”

45
Q

Acute pharyngitis & tonsilitis

  • Bacterial
46
Q

Acute pharyngitis & tonsilitis

  • Viral
47
Q

Bacterial Sinusitis

48
Q

Bacterial Otitis Media

49
Q

Viral Otitis Media

Y4R6 - Pediatrics II 👶 (36 decks)

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