Respiratory Flashcards
Chronic sinus/ ear/chest infections + situs inversus suggests what ?
Kartagener syndrome
How do you manage effusion/empyema ?
Chest drain and send fluid for microbiology
Sputum culture
Blood culture + antibiotics
Intrapleural fibrinolytics -urokinase
When is monteleukast given 3rd line for asthma?
Under 5 years if not controlled by steroid inhaler
What is an important differential for upper abdominal pain in young child?
Basal pneumonia!
Baby without antenatal care presenting with respiratory distress, scaphoid abdomen +/- gurgling sounds at left base should make you think of what?
Congenital diaphragmatic hernia
What is immediate treatment for congenital diaphragmatic hernia?
Insertion of large bore nasogastric tube
What is positive sweat test?
> 60mmol/ l
What is first line treatment for TB?
Isoniazid, rifampicin, ethambutol, pyrazinamide
Persistent and progressive dyspnoea and cough over 12 months with LRTI trigger suggests what?
Bronchiolitis obliterans
What infection is commonly associated with bronchiolitis obliterans?
Adenovirus
What TB drug causes orange urine /tears?
Rifampicin
What TB medication causes visual disturbance?
Ethambutol
What TB medication causes peripheral neuropathy?
Isoniazid
What is treatment for pseudomonas aureginosa?
Oral ciprofloxacin
Nebulised colomycin
Lactic acidosis in asthma attack kid who is now well from asthma point of view suggests what?
Salbutamol induced lactic acidosis!
Tell me about Alagille syndrome
Autosomal dominant
Jaundice and itching (pruritus)
Cardiac anomalies PS, VSD, Tetralogy of fallot
FeNO above what is diagnostic for Asthma?
> 35 part per billion
