paediatric respiratory Flashcards
1
Q
the facts
A
analgesia works for sure the jury is out for antibiotics -antibiotics may work>24 hrs first do no harm otitis media antibiotics do not usually help, side effects
2
Q
tonsilitis/ phargyngitis
A
do nothing or 10days penicilin
EBV/ - glandular fever
group A step- sandpaper like rash
3
Q
Group Laryngeal tracheal bronchitis
A
Para'flu I common well coryza stridor, hoarse voice, barking cough oral dexamethason
4
Q
epiglottitis
A
H.influenzae type B rare toxic stridor, drooling intubation and antibiotics
5
Q
lower respirarty tract
A
principles of management -make a diagnosis assess the patient oxygenation, hydration, nutrition to treat or not to treat
6
Q
bronchitis
A
common loose rattly cough post tussive vomit chest free of wheeze haemophilus/ pneumococcus self limiting
7
Q
bacterial bronchitis
A
disturbed mucociliary clearanc red flag age< 6 month >4yr no relapse-remission static weight disrupts child's life
8
Q
bronchiolitis
A
30-40% of all infants
usually RSV others includeparaflu III
commonest LRTI of infancy 3 months
9
Q
there is no uncertainty
A
<12 months
one off
typical history
10
Q
LRTIs
A
48 hrs, fever, SOB, cough, grunting
wheeze makes bacterial cause
reduced or bronchial breath sounds
infective agents
11
Q
pneumonia
A
first line amoxycilin
second line macrolide
12
Q
pertussis
A
whooping cough is common
reduces risk
reduces severity
vomiting and colour change
13
Q
asthma
A
identical to LRTI diagnosis of exclusion wheeze variability respond to treatment
14
Q
asthma diagnosis
A
spirometry
BDR
FeNO
peak flow
15
Q
how to meaure control
A
closed questions SANE short acting beta agonists absent nocturnal symptoms
