Respiratory Flashcards
What is the most common LRTI in children
Acute bronchiolitis
What is the main organism cause of bronchiolitis
RSV (respiratory syncytial virus)
Clinical features of bronchiolitis
Coryza Cough Wheeze Tachypnoea Apnoea Subcostal recession Fever
Ix for bronchiolitis
Mainly clinical Dx
Rx for bronchiolitis
Nothing maximal observation minimal intervention
What is the most common organism of pneumonia
Viral
Bacterial causes of pneumonia
Mycoplasma
Haemophilus
Pneumococcas
Presentation of pneumonia
Malaise Poor feeding Cyanosis Resp. distress Tachypnoea Grunting Costal recession Cough
Ix for pneumonia
Try to avoid CXR
1st line Rx pneumonia
Amoxicillin
2nd line Rx pneumonia
Macrolide Abx
What does pertussis cause?
Whooping cough
Organism pertussis
Bordetella Pertussis
Bacterial cause
Who is pertussis dangerous in
Babies
Describe coughing in pertussis
Coughing fits
After coughing take a big deep breath in
Producing whooping sound
Ix for pertussis
Nasal swab
What is the prevention for pertussis
Vaccination
Rx for pertussis
Macrolide e.g clarithromycin
Clinical features of pertussis
Whooping cough
Rhinorrhoea (nasal congestion)
Colour change
Vomiting
When should you admit someone with pertussis
Someone <6 months
Is pertussis contagious
Yes very
How is pertussis spread
Air borne
What is another name for laryngotracheobronchitis
Croup
What symptom does croup cause
Stridor
What is the most common cause of stridor
Croup
Organism in croup
Commonly parainfluenza virus
Clinical features of croup
Stridor
Barking cough
Hoarse voice
At what time of year is croup more common
Autumn
How is croup classified
Mild
Moderate
Severe
Rx for croup
Dexamethasone (oral steroids)
What is otitis media
Middle ear infection
Symptoms of otitis media
Pain
Erythema in the ear
Ix for otitis media
Clinical Dx
Otoscope
Rx for otitis media
ANALGESIA
Rarely abx indicated
Organism causing epiglottitis
Haemophilus influenzae type B
Is epiglottitis common or rare
Rare now
Features of epiglottitis
Stridor
Drooling
Struggling to breathe
Rx for epiglottitis
ABCDE
Intubation
IV abx
Organism cause of tonsillitis
Can be viral or bacterial
Viral:
Adenovirus
Enterovirus
Rhinovirus
Bacterial:
Group A strep
Symptoms of tonsillitis
Pain swallowing
Sore throat
Rx for tonsillitis
Most cases do nothing
Self limiting
Give analgesia
Occasionally penicillin 10 days
Organism causing bacterial tracheitis
Staph aureus
Why is bacterial tracheitis an emergency
risk of occluding airway
When you should you have a high clinical suspicious on bacterial tracheitis
Croup that does not respond to steroids
Rx for bacterial tracheitis
Airway management
IV abx
In which URTI is drooling common
Epiglottitis
what is the commonest chronic respiratory disorder in children
Asthma
1st line Rx asthma
SABA
Salbutamol
or (SABA + ICS)
2nd line Rx asthma
ICS
Beclomethasone
3rd line Rx asthma
LAVA
What is a good investigation for childhood asthma
Small dose of ICS
See if there is improvement
Then remove again to see if symptoms come back to check for definite Dx
What tool can be used in children with inhalers
Space
What should you never use LABA without
ICS already prescribed
Triad atopy
Hayfever
Asthma
Eczema
Triggers of asthma
Cold air Exercise Pets Dust URTI
If there is no wheeze…
no asthma