Upper Respiratory Infections aka colds

Question 1

what are the six URI syndromes

Answer 1

cold
URI
Bronchitis
Otitis
Sinusitis
Pharyngitis
Epiglotitits

Question 2

Etiologies of URIs

Answer 2

all are viruses thus there is zero role for antibiotics 
-rhinovirus
-enterovirus (Coxsackie virus A)
-RSV
Coronavirus

Question 3

characteristics of URIs

Answer 3

viral

lasts 7-10 days (3 days coming, 3 days going, 3 days leaving)

Question 4

pharyngitis prevalence

Answer 4

sore throat

70% viral in kids 90% in adults

Question 5

bacterial causes of pharyngitis

Answer 5

Group A strep, diphtheria, pertussis

Question 6

Characteristics of Group A pharyngitis

Answer 6

sudden onset
fever
headache
n/v/d
pharyngeal inflammation
discrete exudate
tender cervical nodes
ages 5-15
winter to spring
exposure
NOT a cough
congestion
conjunctivitis

Question 7

Otitis prevalence

Answer 7

84% of kids 1 episode, 50% more than 4

50% viral

Question 8

bacteria causes of otitis

Answer 8

pneumonia, H. flu, moraxella

Question 9

otitis is common following what?

Answer 9

a URI

Question 10

do you usually have a fever with otitis?

Answer 10

60% no

Question 11

do antibiotics have value in otitis?

Answer 11

not really

Question 12

Sinusitis

Answer 12

more common in adults
follows URIs
Most viral, but same bacteria as otitis

Question 13

sinusitis symptoms

Answer 13

facial pain
headache
maxillary teeth pain
opacity by transillumination
x-rays not specific

Question 14

epiglotitis

Answer 14

NOT A COLD medical emergency\

caused by Haemophilis influenzae

Question 15

symptoms of epiglotitis

Answer 15

dysphagia(difficulty swallowing) , drooling stridor(can’t take a breath in)

Question 16

what do you need to do diagnose?

Answer 16

lateral neck x-ray and protect airway

Question 17

how to diagnose URIs

Answer 17

throat culture or rapid test

Question 18

treatment of URIs

Answer 18

treat group A
Treat epiglottitis 
Don't treat others unless:
complicated course
immunosuppressed

Question 19

what there any difference in augmentin vs placebo in sinusitis and otitis?

Answer 19

nope

Question 20

with bronchitis was there any difference in taking an antibiotic on the outcome?

Answer 20

no it was the same as no antibiotic