Upper Respiratory Tract Infection Flashcards

1
Q

What percentage of admissions were acute URTI’s in 2013 in Scotland?

A
  • 7%
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2
Q

In children, if the child is well but has an URTI what is the pathology?

A

Viral

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3
Q

If the child is ill and has an URTI what is the pathology?

A

Bacterial

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4
Q

What is otitis media?

A
  • Infection of the ear
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5
Q

What is the main problem caused by otitis media?

A

Earache

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6
Q

What is erythema?

A

Redness of the skin (can be seen in otitis media)

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7
Q

What happens to the eardrum in otitis media?

A
  • Bulges

- Normally shiny timpanic membrane red

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8
Q

What bacteria can cause a secondary infection in otitis media?

A
  • Pneumococci

- Haemophilus Influenzae

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9
Q

What is the best treatment for otitis media?

A

Main problem is pain so PAIN RELIEF

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10
Q

Why is it somewhat unsuitable to use antibiotics for otitis media?

A
  • Usually goes away before antibiotics work

- Side effects of antibiotics probably worse than the benefit

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11
Q

When should otitis media be treated with antibiotics?

A
  • Severe uni/bilateral otitis media lasting over 6 months

- Severe pain for 48 hours

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12
Q

What is needed for diagnosis of the pathogen causing tonsillitis/pharyngitis?

A

Throat swab

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13
Q

Why is a throat swab still inefficient?

A

By the time the results get back the patient is usually better if it is a virus

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14
Q

What happens if you give someone with suspected tonsillitis amoxicillin and they have Epstein-Barr?

A
  • They will turn a shade of red

- Symptoms will get worse

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15
Q

What is croup caused by?

A

Influenza A

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16
Q

What will a patient with flu be like health wise?

A

Generally healthy

17
Q

What breathing noise is made by someone with croup?

A
  • Stridor
  • Hoarse voice
  • Barking cough
18
Q

What is the treatment for croup?

A

Oral dexamethasone

19
Q

What organism causes epiglotitis?

A

Haemophilus Influenzae

20
Q

What happens to the epiglottis in severe epiglotitis?

A
  • Sticks out over wind pipe and oesophagus due to swelling
21
Q

What is a telltale sign of epiglotitis?

A

Conscious drooling and stridor

22
Q

What is the treatment for epiglotitis?

A

Usually intubation and antibiotics

23
Q

What term should you use instead of viral when referring to URTI’s?

A

Self limiting