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Peds EOR > Pulm > Flashcards

Pulm Flashcards

1
Q

MCC bronchiolitis

A

RSV

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2
Q

what ages are MC affected by bronchiolitis

A

2 months - 2 years old

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3
Q

sx bronchiolitis

A

viral URI prodrome - low grade fever, nasal congestion (URI) –> wheezing, coughing, tachypnea, cyanosis (LRI)

respiratory distress

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4
Q

what is the best predictor of dz outcome for bronchiolitis

A

pulse ox

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5
Q

tx bronchiolitis

A

supportive

palivizumab for prevention

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6
Q

croup is also called

A

laryngotracheitis

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7
Q

MCC croup

A

parainfluenza type 1

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8
Q

croup is due to (pathophys)

A

subglottic narrowing –> partial obstruction

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9
Q

sx croup

A

seal-like barking cough
inspiratory stridor
hoarseness

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10
Q

dx croup

A

clinical

frontal cervical XR - steeple sign

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11
Q

what scored is used to classify the severity of croup

A

Westley croup score

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12
Q

tx croup

A

steroids - should be administered in ALL stages of croup

if severe - nebulized epinephrine

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13
Q

sx intermittent asthma

A

symptoms two or fewer times per week

two or fewer night awakenings per month

use of short-acting beta-agonist inhaler two or fewer times per week

no interference with normal daily activity

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14
Q

tx intermittent asthma

A

SABA prn

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15
Q

sx mild persistant asthma

A

symptoms > 2 days per week (but not daily)

three to four episodes of night awakenings due to symptoms per month

use of short-acting beta-agonist inhaler more than two times per week (but not daily and not more than once per day)

minor limitations to daily activity

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16
Q

tx mild persistent asthma

A

low-dose ics + SABA prn

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17
Q

sx moderate persistent asthma

A

symptoms daily

night awakenings at least once per week (but not nightly)

use of SABA daily

some limitations in daily activity

18
Q

tx moderate persistent asthma

A

low-dose ICS + LABA

OR

medium-dose ICS + LABA

SABA prn

19
Q

sx severe persistent asthma

A

symptoms daily

nightly awakenings due to sx

use of SABA multiple times per day

extreme limitations in daily activity

20
Q

tx severe persistent asthma

A

medium- or high-dose ICS + LABA + LAMA + oral systemic corticosteroids

21
Q

FEV1 mild intermittent asthma

A

> 80%

22
Q

FEV1 mild persistent asthma

A

> /= 80%

23
Q

FEV1 moderate persistant asthma

A

> 60 and < 80%

24
Q

FEV1 severe persistent asthma

A

</= 60%

25
Q

inheritance of cystic fibrosis (CF)

A

autosomal recessive

26
Q

pathophys of CF

A

abnormal chloride and water transport

27
Q

common sx of CF in infancy

A

meconium ileus

28
Q

sx of CF (not in infancy)

A

bronchiectasis (MC due to pseudomonas)

recurrent pulmonary infections

may have steatorrhea etc due to pancreatic insufficiency

infertility in men

29
Q

dx CF

A

elevated seat chloride via pilocarpine

> 60 on 2 occasions

30
Q

tx CF

A

airway clearance
high fat diet with fat-soluble vitamins
pancreatic enzyme replacement

if abx - macrolides usually

31
Q

MC foreign body aspiration in kids

A

peanuts

32
Q

why is the right main bronchus the MC location for foreign body aspiration

A

wider, more vertical, and shorter

33
Q

tx foreign body aspiration

A

rigid bronchoscopy

34
Q

dx foreign body aspiration

A

chest imaging - usually start w XR –> CT if negative

35
Q

PE for pneumonia

A

bronchial breath sounds
dullness to percussion
increased tactile fremitus
inspiratory rales (crackles)

36
Q

MCC typical vs atypical pneumonia

A

typical - strep Pneumonia
atypical - mycoplasma pneumonia

37
Q

tx mycoplasma pneumonia and legionella pneumonia

A

macrolide (erythromycin, azithromycin)

38
Q

tx community acquired pneumonia

A

PCN (amoxicillin)
if inpatient - PCN + macrolide

if MRSA - vancomycin

39
Q

classic sx strep pneumo

A

rust colored sputum

40
Q

classic sx klebsiella Pneumonia

A

currant jelly sputum + alcoholic or DM

41
Q
A

Peds EOR (9 decks)

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