Upper Respiratory Tract Infection Flashcards

1
Q

What are some examples of upper respiratory tract infections?

A

Otitis media

Rhinitis

Tonsillitis

Pharyngitis

Laryngitis

Epiglottitis

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2
Q

What is laryngitis also known as?

A

Croup or laryngotracheobronchitis

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3
Q

How is bacteria inside us all the time but not causing infection?

A

As commensals, meaning they are harmless

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4
Q

What is a problem with commensals always being present?

A

It can be hard to tell what is a commensal and what is a pathogen

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5
Q

Where do most infections originate from?

A

Bacteria that was in the body before hand

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6
Q

What does URTI stand up for?

A

Upper respiratory tract infection

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7
Q

What is the prevalence of upper respiratory tract infections?

A

Acute upper respiratory tract infections (7% of all admissions)

Acute tonsillitis (3%)

Croup (3%)

Otitis media (0.5%)

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8
Q

What is important to know about the relationship between upper respiratory tract infections and hospital admissions?

A

Only a small percentage of upper respiratory tract infections leads to hospital admissions

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9
Q

Why is it difficult to know whether you should prescribe antibiotics are not?

A

You cannot tell if the patient is going to get better or worse

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10
Q

What is the best way to know whether antibiotics should be prescribed?

A

Get the parents to review them in the future and to come back if it gets worse

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11
Q

What is the most common upper respiratory tract infection?

A

Rhinitis (5 to 10 per year)

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12
Q

What does prodrome mean?

A

Early symptom indicating the onset of a disease

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13
Q

What does rhinitis prodrome?

A

Pneumonia

Meningitis

Septicaemia

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14
Q

What kind of condition if rhinitis?

A

Self-limiting

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15
Q

What is the prevalence of ototis media?

A

Common

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16
Q

What kind of condition is otitis media?

A

Self limiting

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17
Q

When is otitis media primary and secondary?

A

Primary viral infection

Secondary with pneumococcus/H’flu

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18
Q

What does otitis media cause?

A

Spontaneous rupture of the eardrum

19
Q

How useful are antibiotics for otitis media?

A

They do not usually help

20
Q

What is the prevalence of tonsillitis/pharyngitis?

21
Q

Is tonsillitis/pharyngitis caused by viruses or bacteria?

22
Q

How does the severity of tonsillitis/pharyngitis drastically change?

A

It either requires nothing or 10 days of penicillin

23
Q

What should you never give to someone with tonsillitis/pharyngitis?

A

Amoxicillin

24
Q

What is the most common cause of tonsillitis/pharyngitis?

A

Throat commensal of streptococcus

25
What is an indicator of croup/epiglottitis?
Distinctive barking cough and stridor
26
What is rhinitis more commonly known as?
Runny nose
27
How long can rhinitis take to clear?
Up to 15 days
28
What are symptoms of otitis media?
Ear pain Temperature Pus Redness Bulging drum
29
How long can otitis media (ear ache) take to clear?
Up to 9 days
30
How does treatment with antibiotics change the duration of the infection?
Barely changes it and so is not worth using due to possible side effects
31
What is the main side effect of antibiotics?
Diarrhoea
32
What are advantages of defered treatment?
Fewer patients treated Fewer side effects Benefits from immediate treatment only after pain is gone
33
What is worth prescribing for otitis media?
Analgesia (pain killer)
34
How long can a sore throat last up to?
7 days
35
What are differences between croup and epiglottitis?
Croup is caused by para'flu, common, child is well, barking cough, needs dexamethasone Epiglottitis is caused by H.Influenza type B, rare, stridor and drooling, needs antibiotics
36
What do you prescribe to someone with croup?
Dexamethasone
37
What is the duration of croup?
Up to 3 days
38
What is croup?
Childhood condition that affects the windpipe (trachea), the airways to the lungs (bronchi) and the voice box (larynx)
39
What is A?
Rhinitis
40
What is B?
Tonsillitis
41
What is D?
Laryngitis
42
What is E?
Epiglottitis
43
What is F?
Pharyngitis
44
What is G?
Otitis media