Paeds - Resp/Infection

Question 1

Bronchiolitis sy

Answer 1

<1 year, cold

Question 2

Bronchiolitis ax

Answer 2

RSV

Question 3

Bronchiolitis mx

Answer 3

None

Question 4

Croup sy

Answer 4

Barking cough

Question 5

Croup ax

Answer 5

Parainfluenza

Question 6

Croup mx

Answer 6

Oral steroids

Question 7

Epiglottitis sy

Answer 7

Very unwell, stridor, drooling

Question 8

Epiglottis ax

Answer 8

Haemophilus influenza type B

Question 9

Epiglottitis mx

Answer 9

Intubation and antibiotics

Question 10

Tracheitis sy

Answer 10

Barking cought and fever despite steroids

Question 11

Tracheitis ax

Answer 11

Staph aureus

Question 12

Tracheitis mx

Answer 12

Steroids and flucloxacilin

Question 13

Viral induced wheeze sy

Answer 13

12 hour history of wheeze after 3d history cold example

Question 14

Viral induced wheeze mx

Answer 14

Salbutamol (and oral prednisolone if severe)

Question 15

Pneumonia sy

Answer 15

High fever, vomiting, stomach pain, cough

Question 16

Pneumonia mx

Answer 16

Oral amoxicillin (IV if severe)

Question 17

Pneumonia ax

Answer 17

Strep pneumoniae

Question 18

UTI sy

Answer 18

High fevere (>39), vomiting, poor feeding, strong smelling urine

Question 19

UTI ix

Answer 19

Urine dipstik

Question 20

UTI mx

Answer 20

Kidney - cephalosporin or co-amoxiclav (IV)

Lower - oral trimethoprime

Question 21

Gastroenteritis sy

Answer 21

Vomiting and bloody diarrhoea, recent animals

Question 22

Gastroenteritis ax

Answer 22

E.Coli 0157

Compylobacter

Salmonella

Question 23

Gastroenteritis ix

Answer 23

Stool culture

Urine dipstix

Question 24

Gastroenteritis mx

Answer 24

Hydration and monitoring

No antibiotics