Pediatric Illness

Question 1

When does separation anxiety/stranger anxiety begin?

Answer 1

15-18 months old

Question 2

What questions should you ask when a kid comes in for a sick visit?

Answer 2

ask about the stuff they should be doing:

activity level, sleep, urination, eating/drinking

Question 3

What might a bulging fontanelle suggest? A flat fontanelle?

Answer 3

hydrocephalus or meningitis. Or crying

Flat fontanelles may suggest dehydration

Question 4

What is stridor?

Answer 4

heard on inspiration and indicate upper airway constriction

Question 5

What are some causes of stridor?

Answer 5

croup, foreign body aspiration, anaphylaxis

Question 6

What are some characteristics of wheeze?

Answer 6

heard more on exhalation

indicates lower airway problem

Question 7

When might I hear wheezing in a kid?

Answer 7

bronchiolits or asthama

Question 8

When might I hear crackles?

Answer 8

pneumonia, pneumonitis, pulmonary edema

Question 9

What are characteristics of bronchiolitis? age, breathing, stats, temperature, peak, season, lung sounds

Answer 9

less than 2 yrs
increase WOB
decreased PO2
temperature around 101
peaks at day 3
often in winter
washing machine lung sounds: crackles, wheezes, tachypnea,

Question 10

Characteristics of pneumonia: symptoms, temperature, cause, peak, course?

Answer 10

increased WOB and fatigue
decreased PO2
temper greater than 102
URI complication with a peak later in the disease. may go from sick to toxic
hear crackles, see signs of hypoxia, tachypnea

Question 11

Bronchitis:age, symptoms, sounds

Answer 11

greater than 5 years with a cough
hear rhonchi (continuous popping noises on inspiration)

Question 12

Symptoms of sinusitis, age, time course

Answer 12

congestion 10-14 days and day cough

not a baby- babies don’t have sinuses yet

Question 13

What are symptoms of croup? What do I see on physical exam? season?

Answer 13

barky cough
stridor and horseness on PE, but lungs clear to ausculation
spring/fall

Question 14

What are some symptoms of foreign body aspiration?

Answer 14

wheezing and decreased breath sounds on only one side in a kid

Question 15

What are characteristics of asthma?

Answer 15

airway inflammation, mucus secretion, reversible airflow obstruction due to bronchoconstriction

Question 16

What should I know about pertussis?

Answer 16

this is a 3-PHASE COURSE

catarrhal: URI symptoms
paroxysmal: repetitive, foreceful coughing episodes