Respiratory Flashcards
who should you be more concerned with a cough
infants because of RSV or Hib, persistent cough is never normal in an infant
DDX for cough
croup pertussis foreign body epiglottis CF
croup
deep barking cough
inspiratory stridor
hoarsness that is worse at night
under 4 years
how do you treat croup
cool and wet or warm and wet air
homeopathy: spongia,
steroids if severe
Pertussus
super contangeous and can last 2-3 months
frequents burst followed by inspiratory whoop
kids look sick
Foreign body sx
sudden onset dry cough
Treatment for routine cough?
honey, herbs, hydrotherapy
Lower respiratory cough ddx
bronchitis
bronchilolitis
pneumonia
ronchi
wheeze during inspiration and or expirations
bronchitis
dry, harsh cough, rhonchi fever
ratteling in chest,
tachykipnea without rales
treatment of bronchitis
ususally self limiting, palliative cares
bronchiolitis
rapid onset, toxic appearance, with severe inspiratory stridor, drooling and sore throat accessory muscle use
wheeze + rales + cyanosis
DX for bronchiolitis
hypoxemic with increased WBC count
infants and young may require hospitalization although its ususally self limiting.
Pneumonia
productive cough, SOB, chest pain
fever, malase and chills, cough
labs for penumonia
CXR and CPC
then treat with antibiotcs if bacterial, o2 and bronchodialotrs
asthma
severe dyspnea, wheez caused by hyperreactive airways and reversible obstruction
ssx of asthma
wheeze, dyspnea, chest tightness, SOB with triggers, patterns , End expiratory cough, prolongued expiratory pause, rhonchi or rales.
DX for asthma
pulmonary function chest, allergy test, GER, CXR,
treatment for asthma
bronchodialotor; B2 agonist anti-inflammatories mast cell stabilizers corticosteroids leukotriene modifies.
