Resp with ENT Flashcards
cause of CAP <5yo
viral
benefit of CF
protection against salmonella typhi
organism in chronic otitis media
pseudomonas
hayfever treatments
1) PO or nasal antihistamine
2) nasal corticosteroid (drops if severe obstruction)
abx for severe ezcema/cellulitis
IV benpen and fluclox (or just IV coamox)
rinnes test in sensorineural hearing loss
normal
croup + toxic looking child =
bacterial tracheitis - S aureus
cause and management of bacterial tracheitisi
S aureas or M catarrhalis
IV abx and intubate
dont examine
CAP organisms in neonates
GBS
listeria
S aureus
CAP organisms in under 5s
1) viral
2) strep pneumoniaw
CAP organisms in over 5s
strep pneumoniae and mycoplasma
treatment of >2yo with ?viral CAP
abx (all over 2s get abx as it’s difficult to tell viral vs bacterial clinically)
how to approach an <5yo with ?asthma
8 week trial of moderate dose ICS then 4 weeks off
if symptoms resolve then return, treat
asthma ladder (preventative)
1) salbutamol
2) salbutamol + LD ICS (200mcg BD)
3) salbutamol + LD ICS + LRTA
if under 5yo, refer now
4) salbutamol + LD ICS + LABA
5) LD MART
6) MD MART or,
salbutamol + MD ICS (400 mcg BD) + LABA
which children with CAP should get a CXR
not improving after 48hrs
(CXR not routine initially)
initial management of chronic otitis media with effusion
watchful waiting for 3 months, with a hearing test at the start and end of this time
if the child has Down’s syndrome/cleft palate/significant impairment causing developmental issues or school disruption, refer to ENT immediately
spirometry in asthma
FRV1/FVC <70%
improvement of 12% in FEV1
FeNO in asthma
> 35
asthma low and medium dose ICS
200 and 400
which abx for CAP
amoxicillin
add clarithromycin if not improving after 2 days
coamox if also has influenza
5 days
BPD definition
needing O2 at 36 weeks corrected gestation
BPD CXR
widespread opacification
prognosis of asthma <2yo
gone by secondary school
croup but too unwell for PO dex
INH budesonide
IM dex