Paed resp Flashcards
1
Q
Whooping cough causative organism + type
A
Bordetella pertussis - gram neg baccilus
2
Q
How do symptoms of whooping cough start?
A
With coryzal symptoms, a low grade fever and possibly a mild dry cough.
3
Q
Phases of whooping cough?
A
- Catarrhal phase
- Paroxysmal phase
- Convalescent phase
4
Q
How long does the catarrhal phase last for? (whooping cough)
A
1 - 2 weeks
5
Q
Catarrhal phase signs in whooping cough
A
Rhinitis
Conjunctivitis
Irritability
Sore throat
Low-grade fever
Dry cough
6
Q
Paroxysmal phase of whooping cough lasts…
A
For 2 - 8 weeks
7
Q
What occurs in the paroxysmal phase of whooping cough?
A
- Episodes of severe paroxysms (attacks) of coughing followed by an inspiratory gasp (“whoop” sound)
- In infants below 3 months of age, the “whoop” is less common and apnoea is more often a feature.
- Coughing attacks are more common at night and are often followed by vomiting and may be severe enough to cause cyanosis.
8
Q
What occurs in the convalescent phase of whooping cough?
A
Dry cough that lasts up to 3 months
9
Q
Bronchiolitis/viral respiratory infection vs pertussis?
A
Wheeze and / or crackles present in bronchiolitis on auscultation
10
Q
A
