management of URTI Flashcards
when does bacterial colonisation becomes an infection?
epithelium attacked and gets into body
cons of abx
Diarrhoea Oral thrush Nappy rash Allergic reaction Multi resistance
problem of rhinitis?
Prodrome to other illnesses
Pneumonia, bronchiolitis
Meningitis
Septicaemia
self limiting, common eps in winter
How do you confirm otitis media?
Kid with a sore ear
Look in to see redness and bulging drum –> Spontaneous rupture
what is otitis media?
what causes a primary infection?
what causes a secondary infection?
do abs help?
Common, self-limiting Not “a bit pink” Primary viral infection Secondary infection with Pneumococcus/ H’flu Spontaneous rupture of drum
Antibiotic treatment usually doesn’t help……
How do you treat otitis media?
just analgesia!! as It’s self limiting and generally viral
abx do nothing in first 24hours anyways (maybe amoxicillin could give?)
treatment for tonsillitis or pharyngitis
viral: nothing, can give analgesia
bacterial: 10 days penicillin
Don’t give amoxycillin!!- as bad if have EBV infection as can give rash
strep throat infection symptoms
scarlet fever- pink rash with sand paper feel
pallor around mouth
not right for a week- temperatures just feeling shit
How would you investigate a case of tonsillitis?
1) Examine by looking in their mouth (not v helpful as viral and bacterial infection look same)
2) Throat swab for viral vs bacterial
Croup symptoms
These patients tend to be overall quite well
Coryza
stridor
hoarse voice
“barking” seal-like cough
What causes Croup
Parainfluenza Type 1
croup treatment?
Oral Dexamethasone
What management should be enacted for any kid with a respiratory infection?
Assess their oxygenation, hydration and nutritional status then attend to these if necessary, Most kids won’t need anything more than this for Respiratory infections
epiglottitis symptoms?
Stridor
drooling
unwell
is epiglottis common or rare?
rare
