Self Study 3 Flashcards

1
Q

group of microbes responsible for common cold

A
rhinovirus
parainfluenza
respiratory syncytial virus
coronavirus
adenovirus
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2
Q

MoT common cold

A

person to person droplet

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3
Q

what population is a major resevoir for common cold

A

peds

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4
Q

what are the most common portals of entry

A

nasal mucosa

conjuctival surface of eye

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5
Q

when is the CC most contagious

A

first 3 days after onset of symptoms

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6
Q

incubation period of the CC

A

5 days

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7
Q

common mnfts of the CC

A
headache
malaise
dryness, stuffiness of nose, nasal sec
membranes in URT become swollen with sec
sore throat
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8
Q

extreme mnfts of CC

A

chills, fever, exhaustion

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9
Q

how do yo utreat CC

A

rest

antipyretics

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10
Q

what is important to remember about the CC and otc drugs

A

dont shorten cold duration, only tx symptoms

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11
Q

use of antihistamines in CC

A

for runny nose

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12
Q

what does inc use of antihistamines in the CC result in

A

drying up sec,
worsening cough
causing CNS depression

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13
Q

how do decongestants work

A

constrict blood vessels in swollen nasal mucosa, dec swelling and fluid

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14
Q

what do decongestants do in high doses

A

inc BP

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15
Q

use of echinacea in CC

A

if taken after onset of symptoms, it may shorten them

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16
Q

zinc and vit C for tx of CC

A

some studies say it works while others say it doesnt

17
Q

how is coughing different in cold vs the flu

A

prod cough in cold

18
Q

how is stuffy nose different in cold vs flu

A

no stuffy nose in flu

19
Q

how do cold symptoms progress vs flu symptoms

A

cold: over a few days
flu: rapid in 3-6 hours

20
Q

is headache common in cold

21
Q

which sinuses are included in rhinosinusitis

A

frontal, ethomoid, maxillary, sphenoidal

22
Q

what 2 microbes most commonly cause infc in rhinosinusitis

A

haemophilus influenzae

stretococcus pnuemoniae

23
Q

mnfts of rihinosinusitis

A
facial pain
headache
purulent nasal discharge
dec sense of smell
fever
24
Q

dx of rhinosinusitis

A

hx, px, nose and throat inspection

25
how is sinusitis headache exxagerated
with bending over, sneezing, coughing
26
how is RS txed
on cause, may include abx, corticosteroids, mucolytics, symptom releif. inc drainage by dec congestion
27
when are abx used in RS
if the infection doesnt clear up within 7 days, and presnt inc mnfts
28
why is it important to be wary of decongestant use
may cause rebound congestion if used >3-5 days
29
when are intracranial comps most commonly seen in RS
with infc of frontal and ethmoid sinuses dt proximity to the dura + drainage of veins from frontal sinus to dura sinus
30
orbital complications in RS
edema of eyelids orbital cellulitis subperosteal abscess formation
31
what intercranial complicatiosn req immediate attention
``` swelling over involved sinus abn extraocular movements protrusion of eyeball periorbital edema changes in mental status ```
32
what does dec o2 in the sinuses faciliate
bacterial growth
33
what are the most common causes of RS
conditions that obstr the osita that drain the sinuses
34
when does Rs usually dev
when a URT or allergic rhinitis obstrs ostia + compromises mucociliary blanket
35
what else can cause RS
nasal polyps obstr ostia