Peds Upper Resp Tract infection Flashcards
What are the defining traits of Sinusitis?
Persistent: runny nose, daytime cough
Severe: fever over 102.2 lasts for 3 days in a row Mucus thick and cloudy or colored
Worsening: cold starts to improve, fever returns, cough, or runny nose gets worse
Continues to worsen after 10 days.
What is classic presentation of Viral croup(laryngo-tracheal-bronchitis)?
Barking "seal" cough noisy breathing on inspiration retractions of chest wall. flaring nostrils URI for the last 2 days
most likely between 6 mon and 6 yrs
What organism causes Croup?
Parainfluenza virus T1 (50%) Parainfluenza T2 Flu TA Adenovirus RSV Enterovirus Mycoplasma Pneumonia Measles HSV Corynebactrium Diptheria (from most to least common)
How is viral croup diagnosed?
Clinical findings
AP Xray of neck shows “steeple sign”
What is the Treatment of Croup?
Humidification
Racemic epinephrine by nebulization (rescue)
Dexamethazone (long term)
What is charicteristic of Epiglottitis?
ABRUPT onset
Haemophilus influenza
Rapid swelling of upper airway. Patient is anxious
DO NOT Xray, use tongue depressor, gather team => OR
LOTS OF DROOLING
WHat is charicteristic of BActerial Tracheitis?
May follow viral croup
What is charicteristic of foreign body aspiration?
1-3yo
Rapid onset of symptoms
Cough, stridor, wheeze, drooling, resp distress
How is Foreign body diagnosed?
CLinical suspicion 2 views of neck Xray, insp/exp CXR Trachea seen in Saggital plane Esophagus seen in Coronal plane Removed by endoscopy
What is charicteristic of Retropharyngeal Abcess?
Inf between buccopharyngeal and prevertebral fascia
Strep Pyo, oral anaerobes, staph aureus
Prevertebral space closes in 3-4th year
(peritonsillar abcess seen in school age child)
What is the clinical presentation of Retropharyngeal abcess?
Ill appearing child with torticollis and trismus
Drooling and Stridor
Swelling of oropharynx
What is charicteristic of Laryngomalacia?
Immaturity of suportign structures around the larynx
Abnormal neuromuscular devt.
