Paed: Lungs Flashcards
List some inflammatory responses of Rhinovirusea….
- Vasodilation (increased blood flow to basal submucosa = nasal stuffiness)
- Incr. Vascular permeability
- Production of mucous
Symptoms a result of innate immunity rather than viral infection
At what age can cough and cold syrups be recommended to children?
From 6 years old
Home remedies for treating viral infections
Honey = small benefit (over 1)
Name the 4 Upper RTI
- Rhinitis (common cold)
- Sinusitis (rhino-sinusitis)
- Pharyngitis (tonsillitis)
- Otitis media
Main symptoms of the 4 upper RTI
- Rhinitis (common cold)
- Sinusitis (rhino-sinusitis)
- Pharyngitis (tonsillitis)
- Otitis media
- Rhinitis (common cold)
= nasal discharge - Sinusitis (rhino-sinusitis)
= pus + sinus pain - Pharyngitis (tonsillitis)
= sore throat - Otitis media
= earache
Name the 4 Lower RTi
- Croup
- Bronchiolltis (0-12m)
- Bronchitis
- Pneumonia
Main symptoms of lower RTI
- Croup
- Bronchiolltis (0-12m)
- Bronchitis
- Pneumonia
- Croup
= bark, strider, hoarse cry - Bronchiolltis (0-12m)
= SOB, WHEEZE - Bronchitis
= COUGH - Pneumonia
= WHEEZE
Name the 4 sinuses
- Ethmoid = Bridge of nose
- Maxillary = around the cheeks
- Frontal = forehead = UNTIL 7
- Sphenoid = located deep in the face
= DOSENT DEVELOP TILL ADOLESCENTS.
Will sinusitis respond without antibiotics? For how long?
Yes, for 2 weeks (typically)
Red aga for sinusitis?
- 7-10 days of mucopurulent discharge
- Focal pain
- Poor response to decongestants
4.. tenderness/ tooth pain
When to refer child with tonsillitis?
- Fever over 38
- Tender Cervical Lymphadenopathy
- Tonsillitis exudate/ white spots on tonsils
- No cough, but sore through, difficulty swallowing
Red flags for Otitis Media
- Fever over 38
2 ear discharge
3 ear fullness
4 blocked ears
Treatment of Otitis Media in children
“Wait qnd see” prescription antibiotics (observe for 2 days)
Croup
If significant Stridor at rest then give?
Oral prednisolone 1mg per kg
During croup, which airway is narrowed?
Subglottic airway