Paed: Lungs Flashcards

1
Q

List some inflammatory responses of Rhinovirusea….

A
  1. Vasodilation (increased blood flow to basal submucosa = nasal stuffiness)
  2. Incr. Vascular permeability
  3. Production of mucous

Symptoms a result of innate immunity rather than viral infection

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2
Q

At what age can cough and cold syrups be recommended to children?

A

From 6 years old

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3
Q

Home remedies for treating viral infections

A

Honey = small benefit (over 1)

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4
Q

Name the 4 Upper RTI

A
  1. Rhinitis (common cold)
  2. Sinusitis (rhino-sinusitis)
  3. Pharyngitis (tonsillitis)
  4. Otitis media
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5
Q

Main symptoms of the 4 upper RTI

  1. Rhinitis (common cold)
  2. Sinusitis (rhino-sinusitis)
  3. Pharyngitis (tonsillitis)
  4. Otitis media
A
  1. Rhinitis (common cold)
    = nasal discharge
  2. Sinusitis (rhino-sinusitis)
    = pus + sinus pain
  3. Pharyngitis (tonsillitis)
    = sore throat
  4. Otitis media
    = earache
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6
Q

Name the 4 Lower RTi

A
  1. Croup
  2. Bronchiolltis (0-12m)
  3. Bronchitis
  4. Pneumonia
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7
Q

Main symptoms of lower RTI

  1. Croup
  2. Bronchiolltis (0-12m)
  3. Bronchitis
  4. Pneumonia
A
  1. Croup
    = bark, strider, hoarse cry
  2. Bronchiolltis (0-12m)
    = SOB, WHEEZE
  3. Bronchitis
    = COUGH
  4. Pneumonia
    = WHEEZE
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8
Q

Name the 4 sinuses

A
  1. Ethmoid = Bridge of nose
  2. Maxillary = around the cheeks
  3. Frontal = forehead = UNTIL 7
  4. Sphenoid = located deep in the face
    = DOSENT DEVELOP TILL ADOLESCENTS.
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9
Q

Will sinusitis respond without antibiotics? For how long?

A

Yes, for 2 weeks (typically)

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10
Q

Red aga for sinusitis?

A
  1. 7-10 days of mucopurulent discharge
  2. Focal pain
  3. Poor response to decongestants

4.. tenderness/ tooth pain

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11
Q

When to refer child with tonsillitis?

A
  1. Fever over 38
  2. Tender Cervical Lymphadenopathy
  3. Tonsillitis exudate/ white spots on tonsils
  4. No cough, but sore through, difficulty swallowing
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12
Q

Red flags for Otitis Media

A
  1. Fever over 38
    2 ear discharge
    3 ear fullness
    4 blocked ears
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13
Q

Treatment of Otitis Media in children

A

“Wait qnd see” prescription antibiotics (observe for 2 days)

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14
Q

Croup

If significant Stridor at rest then give?

A

Oral prednisolone 1mg per kg

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15
Q

During croup, which airway is narrowed?

A

Subglottic airway

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16
Q

Pathophysiology of Bronchiolitis

A

Inflammation of bronchioles

17
Q

Symptoms of Bronchiolitis?

A

Rhinitis

Tachypnea

Wheezing

Poor feeding, crackles in chest

Low Spo2 (less 92%)

** risk factor for ASTHMA

18
Q

Are antibiotics and CS useful to treat Bronchiolitis?

A
19
Q

Main symptoms for Bronchitis?

A

COUGH

20
Q

Most common cause if Bronchitis?

A

VIRAL!!!

INFLUENZA (common)
RSV
ADENOVIRUS

21
Q

Acute treatment for
VIRAL INDUCED WHEEZING

A

Bronchiodilators

Oral steroids

Evidence..
(ICS for a week unproven,
Montelukast has evidence for allergic rhinitis but not for viral induced Wheezing)

22
Q

Key feature of asthma

A

Wheeze

23
Q

At what age can asthma be diagnosed?

A

From 6 years (can perform a spirometry)

-too young before 12 months
-no degree of certainty between 1 to 5

24
Q

Are antibiotics needed in Whooping Cough?

A

Yes!
Initiated as soon as possible and within 3 weeks of onset of cough

25
Q

When are children with whooping cough considered non infections

A

After 5 days of antibiotic treatment
OR
3 days from onset of cough if untreated

26
Q

Is Whooping Cough a notifiable disease?

A

Yes!!!!

27
Q

When should pregnant mums vaccinate for Whooping cough

A

At third trimester

28
Q

Why less COVID 19 in children?

A
  1. Lower numbers of ACE2 receptors
  2. Higher IFN-1 and neutrophil response
29
Q

What is
MULTI SYSTEM INFLAMMATORY SYNDROME
MSIS

A

Rare complication in children with COVID19

Causes inflammation in organs

Symptoms include
Fever
Bloodshot eyes
Stomach ache, vomiting, diarrhoea
Large lymph nodes in neck
Neck pain
Strawberry tongue
Swollen hands
Irritable Or excessively sleepy