Lower Respiratory Tract Infections-Children Flashcards

1
Q

what are common LRTI that children get

A

Bronchiolitis
Pneumonia
bronchitis

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2
Q

what are common bacterial infective agents that can cause LRTI in children (5)

A
strep pneumoniae
Haemophilus influenza
moxraxella catarrhalis
Mycoplasma pneumonia
chlamydia pneumoniae
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3
Q

what are some common viral infective agents that cause LRTI (4)

A

RSV
parainfluenza III
influenxa A and B
adenovirus

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4
Q

what is Tracheitis

A

inflammation of the trachea, usually secondary to a nose or throat infection.

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5
Q

if a patient has tracheitis what symptoms will they present with

A

prolonged croup with fever

biphasic stridor

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6
Q

what bacteria usually cause tracheitis

A

staph. aureus

streptococcus pneumonia

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7
Q

when do most cases of bronchitis get better

A

usually after a few days

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8
Q

what is bronchitis

A

short term inflammation of the bronchi of the lungs

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9
Q

what are the symptoms of bronchitis

A

rattly cough w/ URTI
post-tussive vomit
NO wheeze

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10
Q

if a child has bronchitis will they appear well or unwell

A

will appear well-mostly self limiting infection

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11
Q

what microorganisms can cause bronchitis (2)

A

Haemophilus

pneumococcus

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12
Q

what viruses can cause bronchitis

A

RSV/adenovirus

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13
Q

what is respiratory syncytial virus

A

causes infection of the lungs and breathing passages, is a major cause of respiratory illness in young children

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14
Q

what does bacterial bronchitis usually come secondary to

A

secondary to upper respiratory tract infection

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15
Q

what is bronchiolitis

A

LRTI of infants

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16
Q

what percentage of infants experience bronchiolitis

17
Q

what microorganisms can cause bronchiolitis

A

RSV
parafllu III
HMPV

18
Q

what symptoms can indicate an infant has bronchiolits

A

nasal stuffiness
tachypnoea
poor feeding
crackles and bit of wheeze

19
Q

can bronchiolits reoccur

A

no usually a one off infection in children under 1 year old

20
Q

what is the treatment for bronchiolitis

A

maximal observation

minimal intervention

21
Q

if a child that has bronchiolitis does need to stay in hospital what treatment would be given

A

hydration
oxygenation
nutrition

22
Q

what is the management of pneumonia if symptoms are mild

A

nothing just review if things get worse

23
Q

if pneumonia is more severe than a mild case what would be the first line of treatment to try

A

oral Amoxycillin

24
Q

if oral Amoxycillin has been tried as a first line treatment for pneumonia what could be used as a second choice

25
when is the only case you would use IV in treatment of pneumonia
only if vomiting occurs
26
what is ottis media
infection of the middle ear common in young children - it is an URTI
27
what is pretussis also known as
whooping cough
28
what is empyaema
extension of infection into pleural space can be pus
29
what is the treatment for empyaema
antibiotics and possibly drainage