URI

Question 1

Presents with:
Clear rhinorrhea
Hyposmia
Nasal congestion

Associated sx:
Malaise
Headache
Cough

Answer 1

Upper respiratory infection

Question 2

Physical findings of nasal mucosa

Answer 2

Erythematous

Engorged nasal mucosa ( without intranasal purulence)

Question 3

The common cold is separate and distinct entity from?

Answer 3

Flu
Bacterial pharyngitis 
Acute bronchitis 
Acute bacterial sinuitis 
Allergic rhinitis
Pertusis

Question 4

What are the most common and characteristics initial symptoms are?

Answer 4

Nasal discharge
Nasal obstruction
Dry or “scratchy throat”
Cough is common ans tends to appear after the onset of nasal discharge and obstruction

Question 5

What other symptoms can also present with URIs?

Answer 5

Sneezing
Malaise
HA
Pressure or discomfort in their ears and face

Question 6

The cold can arise within how many hours?

Answer 6

24-72 hours

Question 7

How long do colds last for?

Answer 7

3 to 10 days

Although clinical illness may last as ling as two weeks up to 25% of patients, particularly smokers

Question 8

Treatment for URI

Answer 8

Tylenol 325mg 1-2 tabs q 4-6 hours as needed for fever or pain

Pseudoephedrine
Immediate: 60mg q 4 to 6 hours
Extended: 120mg q 12 hrs or 240mg q 24hours
Max: 240mg/ 24 hours

Oxymetazoline ( afrin) nasal