Respiratory Flashcards
1
Q
What is bronchiolitis
A
Lower respiratory viral infection affecting children under 2
2
Q
How does bronchiolitis present
A
Coryzal symptoms precede
- cough
- low grade fever
- feeding difficulties
on examination
- inspiratory crackles
- expiratory wheeze
- nasal flaring
- grunting
- tachypneoa
- recessions = intercostal, subcostal, supraclavicular
- hyperinflated chest
- Cyanosis or pallor
3
Q
How is bronchiolitis investigated
A
CXR - rule out pneumothorax or lobar collapse. May show hyperinflation
Blood gas - check for respiratory acidosis
NPA
4
Q
Which viruses are looked for in an NPA and viral cultures
A
NPA = RSV - respiratory synctial virus viral cultures Adenovirus Influenza Parainfluenza Rhinovirus Enterovirus
