URI

Question 1

Hx in URI

Answer 1

• Predominant symptom (nasal congestion/rhinorrhea, purulent nasal discharge with facial pain/tenderness, sore throat, cough w or wo sputum, sore throat or ear pain)
• Constitutional symptoms
• Symptoms of potential pneumonia
• Hx of or symptoms of serious cardiopulmonary disease (e.g., asthma, COPD, CHF) that may alter treatment plan

Question 2

PE skills

Answer 2

• Examine nasal cavity, pharynx, and sinuses
• Otoscopic exam
• Exal for lymphadenopathy
• Auscultate lungs for consolidation, pleural effusion, congestion, COPD

Question 3

DDx URI

Answer 3

• Common cold
• Acute sinusitis
• Chronic sinusitis
• Allergic rhinitis
• Pharyngitis
• Otitis media
• Otitis externa
• Acute bronchitis
• Chronic bronchitis
• Influenza
• PNA
• Infectious mono

Question 4

Potential tests in URI

Answer 4

• CBC with diff
• Rapid strep
• Throat Cx
• CXR
• PFTs
• Monospot

Question 5

Counseling in URI

Answer 5

• Dx, Tx, f/u
• Elicit questions
• Explain microbiologic origin of most URIs and why antibiotics are generally ineffective
• Explain importance of antimicrobial resistance