LRTI in children Flashcards
What is tracheitis
Uncommon
Croup which doesnt get better
Fever, sick child
Staph/strep infection
What is the treatment for Tracheitis
Augmentin
What is bronchitis
Common, self limiting
Endobrochial infection
Rattley cough w URTI
Glut
No wheeze
GREN C
What is the mechanism Of bacterial bronchitis
Disturbed mucociliary clearance
Bacterial infection/overgrowth is secondary
Lasts 4 weeks
What is bronchiolitis
Affects 30-40% of all infants
One-off
Nasal stuffiness
tachypnoea
Poor feeding
Crackles +/- wheeze
CANOTP
What is the management for bronchiolitis
Maximal Observation
Minimal intervention
Medications don’t work
what are the investigations for bronchilitis
Nasopharyngeal aspirin
Oxygen saturations
What is pneumonia
- 48 hrs, fever (> 38.5)
- SOB
- Cough
- Grunting
- Wheeze= likely viral
- Reduced or bronchial breath sounds
- Crepitations
- Virus+ commensal bacteria
- Mild= nothing
- 2 days fever, cough + focal signs
What is the managment for pneumonia
Nothing if mild symptoms
First line- Oral amoxycillin
Second line- Oral macrolide
IV if vomiting
What is pertussis
Common
Whooping cough
Vomiting & colour change
What is empyaema
Complication of pneumonia
Infection in pleural space
Chest pain + unwell
What is the management of empyaema
Antibiotics +/- drainage
Summary of to treat or not to treat
