Paediatric Respiratory Flashcards
what are the most common organisms involved with otitis media?
- viral
- pneumoccocus/H’flu
when would you give antibiotics for otitis media?
Amoxicillin if:
- child < 2 and bilateral
- systemically unwell?
how is croup treated?
- dexamethasone
features of tracheitis
- uncommon
- ‘croup which does not get better’
- fever, sick child
- staph or strep invasive infection
- DOES need antibiotics > augmentin
Bronchiolitis clinical features
- usually RSV, others include paraflu III, HMPV
- nasal stuffiness, tachypnoea, poor feeding
- crackles +/- wheeze
- low grade fever
what are the differences between LRTI and bronchiolitis?
LRTI:
- in all ages
- more rapid onset of symptoms
Bronchiolitis:
- aged < 12 months
- 3 days before reach peak
- fever rarely > 38 degrees
what genes contribute to asthma?
- genes are 30-80% of causation
- ADAM33, ORMDL3
what questions would we ask to determine if asthma is under control?
SANE
- short acting beta agonist/week
- absence school/nursery
- nocturnal symptoms/weeks
- exertional symptoms/week
what is the treatment pathway for a newly diagnosed asthma in a child ages 5-11 years?
what is the treatment pathway for children under 5 with suspected asthma and symptoms indicating need for maintenance therapy or severe acute episodes of difficult breathing and wheeze?
what age group can use dry powder inhalers?
8 and up
what is the treatment for acute asthma from mild to severe?
