URTI in children

Question 1

clinical presentation of tonsillitis/ pharyngitis

Answer 1

throat swab to determine nature either viral or bacteria and either prescribe nothing or penicillin for 10 days. don’t give amoxycillin

Question 2

clinical presentation of common cold

Answer 2

running nose, fever

Question 3

clinical presentation of EB virus

Answer 3

herpes simplex

Question 4

clinical presentation of otitis media

Answer 4

primary viral infection is rhinovirus and secondary infection is pneumococcus. spontaneous rupture of eardrum and lots of redness and pus. antibiotics treatment usually doesn’t help

Question 5

clinical presentation of rhinitis

Answer 5

usually in winter months and effects eyes, nose and throat. 1 in 100000 can lead to a more serious illness egg meningitis

Question 6

define role of supportive therapy alongside specific antimicrobial therapy

Answer 6

analgesia works for pain. doing nothing is better.

Question 7

Define the common organisms causing upper respiratory infection including bacteria, such as

Answer 7

pertussis- looping couche
mycoplasma- tuberculosis
Strep. pyogenes , rhinoviruses (common cold), adenoviruses, parainfluenza, influenza and EB virus (herpes), moraxella

Question 8

clinical presentation of sinusitis

Answer 8

caused by moraxella- thick, yellow or greenish mucus from the nose (runny nose) or down the back of the throat (postnasal drainage) Blocked or stuffy nose (congestion) causing difficulty breathing through your nose. Pain, tenderness, swelling and pressure around your eyes, cheeks, nose or forehead that worsens when bending over.