Paeds Resp And Cardio

Question 1

Differences between bacterial and viral pneumonia

Answer 1

Bacterial

• age >2
• absence of wheeze
• absence of rhinorrhoea
• temp >38
• localised pain

Question 2

Hospitalisation of pneumonia criteria

Answer 2

O2 sats <92

Reduced feeds

Question 3

Treatment or pneumonia Paeds

Answer 3

Oral amoxicillin, coamxiclav if unresponsive
In neonates, IV amoxicillin
May give IV if more severe

If no resolution >48hrs of Abx = parapneumonic effusion needing drainage
Follow up with CXR in 4 weeks if atelectasis

Question 4

Croup treatment

Answer 4

Hydration, nutrition and apyrexial Mx
Admit if severe (>8 on westley score)
Single dose PO steroids
NEB adrenaline

Question 5

Features of bronchiolitis

Answer 5

High pitched paroxysmal cough 
Wheeze 
Fever 
Signs of resp distress,  may get apneas
Recessions 
Reduced feeds

Question 6

Treatment of bronchiolitis

Answer 6

Maintain feeds, fluids and apyrexial measures

Can give O2 if required

Question 7

Admission criteria for bronchiolitis

Question 8

Risk factors for OSA

Answer 8

Craniofacial abnormalities- Down’s
Muscular dystrophy - Duchenne’s
Adenotonsillar hypertrophy
Severe obesity

Question 9

Presentation of OSA

Answer 9

• daytime tiredness
• snoring
• learning and behavioural problems

Question 10

Treatment of OSA

Answer 10

• risk reduction: weight loss
• CPAP or NIV
• adenotonsillectomy