Pulmonology

Question 1

What is the most sensitive sign of PNA in peds?

Answer 1

tachypnea

Question 2

What are signs of respiratory distress in peds?

Answer 2

tachypnea, grunting, retractions, nasal flaring, sniffing or tripod position

Question 3

What is a useful test for pulmonary function?

Answer 3

arterial blood gas, CXR is for parenchymal dz not fxn

Question 4

What are s/sx’s of croup/laryngotracheobronchitis?

Answer 4

hoarse voice, dry barking cough, inspiratory stridor, fever, worse at night, <6yo, steeple sign on xray

Question 5

What causes croup?

Answer 5

viruses- parainfluenza, influenza, RSV, adenovirus

Question 6

Tx of croup?

Answer 6

steam, cold air, corticosteroids, nebulized epi,

Question 7

Signs and sx’s of cystic fibrosis?

Answer 7

meconium ileus, anasarca (edema), coughing, recurrent infxns, steatorrhea, abd distention, bilious vomit, jaundice

Question 8

Signs, sx’s of obstructive sleep apnea?

Answer 8

hypersomnolence, pulmonary HTN, increased effort while sleeping, snoring, tonsillar hypertrophy, allergic shiners, 4-8yo, allergic rhinitis

Question 9

Signs and sx’s of bronchiolitis?

Answer 9

fever, wheezing, cough, <2yo, dyspnea, rhinorrhea, retractions, rales, tachy/tachy, apneic episodes, otitis media, hyperinflation, atelectasis, shifting infiltrates

Question 10

What a re s/sx’s of Atopic dermatitis?

Answer 10

edema, erythema, oozing/crusting (cheeks/scalp/trunk in infants), dry skin, Dennie Morgan lines under eyes, earlobe fissures, allergies/asthma