Lower Respiratory Tract Infections Flashcards
What are examples of loss/suppressed cough reflex/swallowing?
Coma, Stroke or artificial ventilation.
Why does pulmonary oedema pre-dispose to LRTI?
Collection of fluid in alveoli.
What is Acute Bronchitis?
Inflammation and oedema of the bronchi.
What are the usual causes of Acute Bronchitis?
Viruses (Rhino, adeno, coronavirus and influenza)
What is the less common cause of Acute Bronchitis?
Bacteria.
Whom does Acute Bronchitis usually affect?
Children
What disease are cough (dry), tachypnoea and dyspnoea associated with?
Acute Bronchitis
What would help with diagnosis in severe Acute Bronchitis?
Culture of resp secretions - not routine.
What treatment is used for severe Acute Bronchitis?
Oxygen therapy
Who is affected most in Chronic bronchitis?
Men over 40.
What one exposure is Chronic Bronchitis exposed with?
Smoking
What mediates airway oedema and irritation?
Exogenous (not infective) irritants.
What causes 75% of Bronchiolitis cases?
Respiratory Syncytial Virus
What other viruses cause Bronchiolitis?
> Parainfluenza
Adenovirus
Influenza
Who does Bronchiolitis most commonly affect?
Young babies
What symptoms would occur in Bronchiolitis?
> Nasal discharge
Acute onset of wheeze
Cough
Resp distress (flaring, grunting, intercostal retractions)
How would Bronchiolitis be diagnosed?
> Chest x-ray and FBC
> Nasopharyngeal aspirate - viral PCR
What are the types of pneumonia?
> Community acquired Pneumonia
> Hospital Acquired Pneumonia
What infectious agents cause Hospital Acquired Pneumonia?
> Enterobacteriacae
> Pseudomonas Spp