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Resp > Upper resp infection > Flashcards

Upper resp infection Flashcards

1
Q

What are the 5 main upper resp tract infection (SLOEWP)

A 
Sinusitis
Laryngobronchitis
Otitis Media
Epiglotitis
Whooping Cough
Pharyngitis
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2
Q

What is Pharyngitis

A

Pharynx inflammation +/ exudate

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3
Q

What are the causes of pharyngitis

A

EBV (Glandular fever)
Group A Haem. Strep (S Pyogenes)

Group A Beta haem (S Pyogenes/Strep Throat)

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4
Q

What are the presentations of pharyngitis

A

Sore throat and fever
Viral? cough and blocked nose
Bacterial? Exudate

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5
Q

What pathology must be ruled out when dealing with pharyngitis

A

Rheumatic fever in children if bacterial cause
-2-4 weeks post group A strep infection

Px = 2-4 weeks post Group A Strep infection

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6
Q

What is Otitis media

A

Inflamed middle ear of children

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7
Q

What is otitis typically caused by

A

Streptococci

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8
Q

How is Otitis media investigated

A

Otoscopy = Inflamed erythmatous tympanic membrane

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9
Q

Pharyngitis and Otitis are typically caused by Strep, How should they be treated

A

Amoxicillin (Flucloxacillin)

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10
Q

What is Sinusitis

A

Inflamed mucosa of nasal cavity and sinus

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11
Q

What is the typical cause of sinusitis

A 
Viral infection (Non Purulent <10 days)
Bacteria (Purulent >10days) 
-S Pneumo and H Influenzae
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12
Q

Sinusitis is self limiting but can be managed with what Abx

A

Amoxicillin

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13
Q

What is Epiglotitis

A

Inflammation of epiglottis obstructing the airways (Children)

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14
Q

What is the most common cause of epiglottitis

A

H Influenzae

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15
Q

What is the presentation of Epiglottitis

A

Tripoding
-(lean forward, mouth open and tongue out to breathe)
Sore throat
SOB

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16
Q

How is Epiglottitis Investigated

A 
Laryngoscopy = GOLD
XRAY = Thumb print sign
17
Q

What is shown on a lateral radiograph/xray for epiglottitis

A

Thumb print sign

18
Q

What is Whooping Cough

A

Chronic cough caused by Bordella Pertussis (Gram negative)

19
Q

What is the bacteria causing Whooping cough

A

Bordella Pertussis
-Gram negative bacillus

20
Q

What is Laryngobronchitis

A

URTI complication from para-influenza and measles

21
Q

How does Laryngobronchitis present

A

Hoarse voice and barking cough
High pitched inhale

High pitched inhale

22
Q

How is Laryngobronchitis treated

A

Dexamethasone

23
Q

What is tripodding

A

Presentation of epiglottitis
-Lean forward mouth open to breathe

24
Q

What disease is the thumb print sign found on x ray

A

Epiglottitis

25
Q

Hoarse voice
Barking cough
High pitched inhale are charecteristics of what infection

A

Laryngobronchitis

26
Q

In sinusitis if a cough is purelent and lasts for >10 days, what is the most likely cause

A

Bacterial

27
Q

What is the first management of a patient with epiglottitis

A

Endotracheal intubation
-Airway management

28
Q

What medicine can be given for epiglottitis

A

Cerufoxime

29
Q

How is whooping cough treated

A

<21 days = Macrolide
>21 days = Paracetemol

Resp (14 decks)

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