Paediatric pneumonia

Question 1

Signs of paediatric pneumonia

Answer 1

• Temp.
• Malaise
• Poor feeding
• Respiratory distress:

Older children may have typical lobar signs

• Crackles
• Pleural pain
• Bronchial breathing

Question 2

When to admit a child with pneumonia

Answer 2

• SpO2 <92%

- Respiratory distress

Question 3

Investigations for paediatric pneumonia

Answer 3

• CXR
• FBC
• Sputum cultures

Question 4

Rx for paediatric pneumonia

Answer 4

• Amoxicillin po 1st line

- Co-amoxiclav/Clarithromycin po

Question 5

Causes of paediatric pneumonia

Answer 5

• Pneumococcus
• Staphylococcus
• TB
• Viral

Question 6

When to suspect TB

Answer 6

Overseas travel

Question 7

Investigation for TB

Answer 7

Interferon-gamma release assays

Question 8

Rx for paediatric TB

Answer 8

• Rifampicin (6mths)
• Isoniazid (6mths)
• Pyrazinamide (2mths)

(?Ethambutol?)

Question 9

Symptoms of respiratory distress

Answer 9

Tachypnoea
Cynanosis 
Grunting 
Intercostal recession 
Accessory muscles