Pulmo Flashcards
Principal agent that causes common colds
Rhinovirus
Xray finding in epiglottitis
Thumb sign
Subglottic narrowing in LTB is seen in xray as
Steeple sign
Ragged air column sign is seen in
Tracheitis
Most common foreign body obtained in children?
Nuts
Sore, scratchy throat, nasal obstruction and rhinorrhea
Unilateral foul smelling discharge, bloody nasal secretion
Foreign body
Sore, scratchy throat, nasal obstruction and rhinorrhea
Headache facial pain, periorbital edema, rhinorrhea x 2 weeks
Sinusitis
Sore, scratchy throat, nasal obstruction and rhinorrhea
Persistent rhinorrhea within the 1st 3 months of life
Syphilis
Sore, scratchy throat, nasal obstruction and rhinorrhea
History of prolonged use of decongestant
Rhinitis medicamentosa
Sore, scratchy throat, nasal obstruction and rhinorrhea
Paroxysms of cough leaving the baby breathless
Subconjunctival hemorrhage
Pertussis
Treatment for sinusitis
Co-Amoxiclav x 14 days
What are the sinuses present at birth?
ME at birth
Maxillary
Ethmoid
What sinuses are pneumatized at 4 years old
Sphenoid
What sinuses develop at 7-8 years old?
Frontal
Treatment for pertussis
Erythromycin
Clarithromycin
Pertussis is most infectious during what stage?
Catarrhal
Most common complication of acute nasopharyngitis
Otitis media
Tonsillectomy should be considered if the occurrence of strep pharyngitis is how often?
More than 7 episodes in the previous year
More than 5 in each of the preceding 2 years
Foreign bidy will usually lodge on what side of the lung?
Right upper lung
Treatment for LTB
Racemic epinephrine
Management for bronchiolitis
Nebulized albuterol and oxygen
Patient presents with wheezes heard loudest over the trachea, wheezing never seems to go away
Dx?
Chondromalacia
Pneumonia causative agent?
Patient with fever, cough and tachycardia
Poorly nourished
Unvaccinated with rashes all over the body
Measles
Pneumonia causative agent?
Patient with fever, cough and tachycardia
Has cystic fibrosis
CGD
Burn parient
Neutropenic
Pseudomonas
Pneumonia causative agent?
Patient with fever, cough and tachycardia
Teen/young adult
Initial cough nin productive
Mycoplasma
Pneumonia causative agent?
Patient with fever, cough and tachycardia
Patient has own aviarum at home/exposure to birds
Psittacosis
Pneumonia causative agent?
Patient with fever, cough and tachycardia
History of eye discharge during 5-14 days of neonatal period
Chlamydia
Causative agent?
Extensive areas of hemorrhagic necrosis
Irregular areas of cavitation
Pneumatocele, empyema
Staphylococcus
Causative agent?
Diffuse infection with interstitial pneumonia
Formation of large amounts of exudates edema and local hemorrhage
Involvement of lymphatic vessels
GAHBS
Causative agent?
Local edema that aids in the proliferation of organisms and spread into adjacent areas resulting in focal lobar involvement
Pneumococcus
Causative agent? Child with cough, colds, fever, wheezing, stridor
Lobar consolidation
Pneumococcus
Causative agent? Child with cough, colds, fever, wheezing, stridor
Hyperinflation with bilateral interstitial infiltrates and peribronchial cuffing
RSV
Causative agent? Child with cough, colds, fever, wheezing, stridor
Prominent areas of cavitations and multiple pneumatoceles
Staphylococcus
Causative agent? Child with cough, colds, fever, wheezing, stridor
Right sided hilar adenopathy
TB
Staccato cough
Chlamydia
Brassy cough
Tracheitis
Common cause of tracheitis
Staphylococcus aureus
Barking cough Worse at night Other family members are ill Inflamed pharynx Stridor
Croup
Cough most severe in the morning
Cystic fibrosis
High fever Sore throat, dyspnea, rapidly progressing obstruction Drooling and hyperextended neck Tripod position Cherry red epiglottis No family member is ill
Epiglottitis
Management for epiglottitis
Ceftriaxone
Primary site of obstruction in acute laryngitis
Subglottic area
In most children, the only evidence of primary tuberculosis is
Recent conversion of PPD to positive
How many hours will the tuberculin sensitivity develop after injection?
72 hours
Most common extra pulmonary site for TB
Scrofula
Most consistent clinical manifestation of pneumonia in children?
Tachypnea
Common cause of pneumonia in 0-28 days
GBS
Common cause of pneumonia in 3 weeks-3 months old
RSV
Parainfluenza
Chlamydia
Common cause of pneumonia in 4mos-4 years old
S. pneumoniae
Treatment for PCAP C
Complete vaccination- Pen G
Incompleteness vaccination- Ampicillin
Treatment for chlamydia and mycoplasma pneumonia
Erythromycin
Adolescents
Sore throat, dysphagia, trismus
Asymmetric tonsillar bulge with displaced uvula
Peritonsillar abscess
3-4 years old
Drooling, neck held in hyperextension, bulging of the posterior pharyngeal wall
Neck pain, muffled voice
Retropharyngeal abscess
