Respiratory Infection Flashcards
What is rhinitis?
Nasal block, otitis media turns semi-transparent, tympanic membrane red, eardrum can bulge and rupture
Antibiotics rarely useful
How to treat strep infection
10 days penicillin
What is croup, what’s the treatment
Barking cough, runny nose, stridor
Oral dexamethasone for 24-48hrs
What is epiglottitis
Stridor, drooling, tripod stance
How to tell if croup or epiglottitis?
If had haemophilus vaccine its more likely to be croup
Symptoms of bronchitis
Very common
Loose rattling cough with URTI
No crackle or wheeze
What is bronchiolitis, what is treatment
Not recurrent
Peaks at day 5, no meds proven to work
What is the treatment for majority of infections?
Most don’t require treatment
Fluids, paracetamol and rest
When to admit children with respiratory infections
Sats <92%
What is pneumonia
Infection within alveolar space
Symptoms of pneumonia
Fever, Rigor, myalgia, cough, sputum, chest pain, DULL PERCUSSION,
What is treatment for pneumonia
Amoxicilllin (typicals)
Clarithomycin (atypicals)
What is aspiration pneumonia
Impaired swallow reflex leads to inhalation (often via stroke)
What is criteria for CURB65
C - confusion U - urea >= 7mmol/l R - respiratory rate >= 30/min B - systolic <90 or diastolic <=60 65 - age =<65
Score of 2 = hospital admission
3-5 = intensive care
