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Online Med Ed - Pediatrics > upper airway > Flashcards

upper airway Flashcards

1
Q

croup bug

A

parainfluenza

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2
Q

3 mo to 3 yrs
viral prodrome
bark cough
stridor

A

croup

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3
Q

steeple sign

A

croup x ray

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4
Q

sx croup better with?

A

cool air
racemic epi
(think vasoconstriction helps improve sx)

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5
Q

Croup tx

A

mild: mist
mod: racemic epi, IM steriods, o2
severe: admit

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6
Q

bacterial tracheitis bug

A

s. aureus

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7
Q

wide age range pt usually around 4 yrs

viral illness, then second infxn

croup like sx that don’t improve

higher fever, leukocytosis

A

bacterial tracheitis

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8
Q

bacterial tracheitis workup

A
  • xray: steeple sign
  • racemic epi did not work
  • tracheal culture
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9
Q

bacterial tracheitis tx

A

IV abx

f/u scope

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10
Q

Epiglottitis bug

A

h flu

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11
Q

age range 3-7 yrs no vax

A

epiglottitis

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12
Q

rapid onset
very sick
high spiking fever
tripoding, drooling, accessory muscles, hot potatoe voice

A

epiglottitis

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13
Q

epiglottitis dx

A

xray: thumb print
…but just go to OR secure airway

cherry red epiglottis while securing airway

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14
Q

epiglottitis tx

A

get airway

IV abx

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15
Q

retropharyngeal abcess tx

A

oral flora

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16
Q

abrupt onset very sick pt, high spiking fever, drooling, neck extended, hot potatoe voice

A

not epiglottitis! can be but if they have anteiror chain lymphadenopathy…mass abscess tender….

retropharyngeal abcess

17
Q

retropharyngeal tx

A

CT, I&D, IV abx

18
Q

peritonsillar abcess caused by

A

oral flora, uri bugs

19
Q

usually over 10+ years, hot potatoe voice, sore throat, drooling, uvular deviation

A

peritonsillar abscess

20
Q

peritonsillar abscess treatment

A

drain and antibiotics

21
Q

croup vs bacterial tracheitis?

A

croup that not responding to racemic epi –> bacterial tracheitis

22
Q

epiglottitis vs retropharyngeal abscess vs peritonsillar abcess

A
  • peritonsillar see uvular deviation

- retropharyngeal LAD

Online Med Ed - Pediatrics (16 decks)

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