Upper Respiratory Tract Infection

Question 1

RHINITIS

Answer 1

• Very common, ~10 per year
• Winter months
• Self-limiting condition
• Prodrome to other illnesses
  ~ Pneumonia, bronchiolitis
  ~ Meningitis
  ~ Septicaemia
• Review is not sure

Question 2

OTITIS MEDIA

Answer 2

• Common, self-limiting, painful ear
• Not “a bit pink”
• Primary viral infection
• Secondary infection with Pneumococcus/ H’flu
• Spontaneous rupture of drum
• Antibiotic treatment usually doesn’t help - HOWEVER if needed, AMOXYCILLIN is the antibiotic of choice

Question 3

TONSILLITIS/PHATYNGITIS

Answer 3

• Common

The dilemma is….

• Viral or bacterial?
• Throat swab
• Either nothing or 10 days penicillin
• Don’t give amoxycillin