Paediatric Respiratory Flashcards
features of otitis media
concurrent or recent viral infection red, inflammed and bulging ear drum ear drum rupture ear ache loss of light reflex
management of otitis media
self-limiting and better within 3-7 days
analgesia
antibiotics if <2 y/o and bilateral
what resp things would you consider giving antibiotics for
tonsilitis
otitis media
pneumonia
conditions for giving antibiotics in LRTI/pneumonia
2 days of fever, cough and with focal signs
what antibiotic would you give in tonsilitis and when
penicillin for 10 days when you know it’s strep, they’re immunosuppressed or are seriously ill
what is laryngotracheobronchitis also known as
croup
causative organisms of otitis media
pneumococcus or h. influenzae
causative organism of croup
parainfluenza type I
what antibiotic should you not give to someone who’s had EBV
amoxycillin - it will give them a rash
presentation of croup
barking cough, stridor, coryza and generally well
treatment of croup
oral dexamethasone
features of epiglottitis
systemically unwellwith fever, high pulse and low BP
stridor and drooling
causative organism of epiglottitis
h. influenzae type B
treatment of epiglottitis
take throat swab and intubate/O2 and give antibiotics accordingly
pathology of bronchitis
get a viral infection –> switches off cilia –> bacterial overgrowth –> cough and rattle –> recover clearance –> new virus
what is a feature seen is bronchitis that you don’t get in others
post-tussive vomit - bringing up a big glut of mucus after cough
true/false bronchitis presents with wheeze and creps
false - bronchiolitis does
true/false creps and crackles are the same thing
true
when is wheeze heard - on inspiration or expiration
expiration
give 4 differentials for wheeze
bronchiolitis, asthma, CF and viral pneumonia
what LTRI has a rattly cough
bronchitits
what age group is bronchiolitis most common in
infants
when is the bronchiolitis peak
at christmas
causative organisms of bronchiolitis
RSV or parainfluenzae
