Upper respiratory tract infection

Question 1

List of URTIs

Answer 1

Rhinitis 
Tonsilitis 
Pharyngitis 
Laryngitis 
Bronchitis 
Croup
Tracheitis

Question 2

Infective agents

Viral

Answer 2

aenovirus
Influenza A, B
RSV
Rhinovirus

Question 3

Infective agens

bacterial

Answer 3

H influenza
M Catarrhalis
Streptococci

Question 4

Is the child it ill it must be ……..

if the child is well it must be …….

Answer 4

bacterial

viral

Question 5

Rhinitis

Answer 5

Self-Limiting condition
very common

same as coryza (common cold)

Question 6

Otitis media

Answer 6

primary viral infection
‘very pink’

common, self-limiting

spontaneous rupture of drum

inflammatory middle ear disease

Question 7

Otitis media treatment

Answer 7

analgesia

antibiotics>24hours
antibiotics cause problem in >50% cases

Question 8

Tonsillitis/pharyngitis investigation

Answer 8

throat swab

either give nothing or 10 days penicillin (don’t give amoxycillin)

Question 9

Epiglottitis

Answer 9

H influenza type B

rare, very toxic

Must need immediate intubation and antibiotics

Question 10

Croup

Answer 10

Coryza, stridor hoarse, barking cough

oral deamethasone

Question 11

URTI are very …… in children

Answer 11

common

Question 12

99% of URTIs are

Answer 12

self-limiting

Question 13

Antibiotics are usually ……. in URTIs

Answer 13

unhelpful (and usually add to morbidity)