Upper respiratory tract infections

Question 1

State the types of upper RTI

Answer 1

• Rhinitis
• Tonsilitis
• Otitis media
• Laryngitis
• Epiglottis

Question 2

In a child, what will indicate whether a URTI is bacterial or viral?

Answer 2

• If child is illl = bacterial

- If child is well = viral

Question 3

What is rhinitis + state its symptoms

Answer 3

• inflammatory condition that causes excess mucous prodution in nose
• seasonal = hay fever

-Symptoms: blocked, runny nose, itchy nose, sneezing etc

Question 4

State other features of rhinitis

Answer 4

• can be an early symptom of the following:

- pneumonia, bronchiolitis, meningitis, septiciaemia

Question 5

What is ottis media + state its symptoms

Answer 5

• primary viral infection; ear infection>accumulation of ear discharge
• spontaneous rupture of ear drum
• secondary infection with pneumococcus/HI

Symptoms:
-fever, vomiting, ear pain, malaise, red ear drum + temprorary hearing loss

Question 6

Treatment of otitis media

Answer 6

• Abx may/not help

- Analgesia relieves pain?

Question 7

What is tonsilitis/pharyngitis

Answer 7

• viral/bacterial ( throat swab)
• If bacterial, give penicillin 10 days, but not amoxicillin(resistance)
• caused by adenoviruses?

Question 8

Croup vs Epiglottis

Answer 8

see slide 30

Question 9

Acute asthma treatment

Answer 9

see slide 37/39

• chronic treatment= inhaled steroids
• acute treatment = oral steroids