Paediatric Respiratory

Question 1

What is seen on auriscope in otitis media?

Answer 1

Bulging eardrum

Erythema

Question 2

What is the effect of amoxicillin on EBV?

Answer 2

Amoxicillin associated rash

Question 3

What is the presentation of croup?

Answer 3

The child is well
Coryza
Stridor
Barking cough
Hoarse

Question 4

What is the treatment of croup?

Answer 4

Oral dexamethasone

Question 5

What is the presentation of epiglottitis?

Answer 5

Child is very unwell, quiet
Low bp, high pulse, fever, stridor, drooling
Caused by HIB

Question 6

What is the management of epiglottitis?

Answer 6

Difficult to intubate as the epiglottis is so big so need to trach sometimes, call 999 and get most senior/anaesthetist on call
Antibiotics

Question 7

What is the presentation of bronchitis?

Answer 7

Loose rattly cough
Post-tussive vomit - “glut”
Chest free of wheeze/creps
Haemophilus/Pneumococcus
Mostly self-limiting
Child very well

Question 8

What are the red flags in LRTI?

Answer 8

Age <6 mo, >4yr
No relapse-remission
Static weight 
Disrupts child’s life
Associated SOB (when not coughing)
Acute admission
Other co-morbidities (neuro/gastro)

Question 9

What is the presentation of bronchiolitis?

Answer 9

Nasal stuffiness, tachypnoea, poor feeding

Crackles +/- wheeze

Question 10

What makes an infection pneumonia?

Answer 10

Signs are focal, ie in one area (LLZ)
Creps
High fever

Question 11

What are the drug choices for treatment of pneumonia>

Answer 11

Oral Amoxycillin first line
Oral Macrolide second choice
Only for iv if vomiting