URTI's

Question 1

Define upper respiratory tract?

Answer 1

Anything above the trachea aka larynx, pharynx, sinuses.

Question 2

What are the common types of URTI’s? (3)

Answer 2

Coryza aka the common cold.

Pharyngitis aka sore throat.

Sinusitis: an infection of the paranasal sinuses may occur with viral URTIs. Occasionally there may be secondary bacterial infection with pain, swelling and tenderness over the cheek from infection of the maxillary sinuses.

NOTE: Epiglottitis is a very severe URTI but is now very rare.

Question 3

What questions should be asked when presented with a child suffering from fever?

Answer 3

1. Likely source?
2. How old is the child? (younger than 6months bacterial infections present very vaguely with fever)
3. How unwell is the child? (Obs etc)
4. Risk factors (immunocompromised, ill contact, unimmunised)
5. Is there a rash?

Question 4

How should you manage a URTI?

Answer 4

Usually self limiting viral infections which can be managed at home with good hydration, and anti-pyrexials.

If source is unknown do not send home until it is discovered if severely unwell consider bacterial infection and treatment in hospital.