Viral Infection

Question 1

What is acute bronchitis?

Answer 1

-Chest infection usually self-limiting
=Inflammation of trachea and major bronchi so oedematous large airway and sputum
-Cough may persist

Question 2

Presentation of acute bronchitis

Answer 2

-Cough
-Sore throat
-Rhinorrhoea
-Wheeze
-Low-grade fever

Question 3

Investigations of acute bronchitis

Answer 3

-Clinical
-CRP to guide antibiotics

Question 4

Management of acute bronchitis

Answer 4

-Analgesia
-Fluid intake
-Antibiotics if systemically very unwell, pre-existing co-morbidities, CRP >100
=Doxycycline/ amox

Question 5

Presentation of influenza

Answer 5

-Coryza
-Nasal discharge
-Cough
-Fever
-GI symptoms
-Headache
-Malaise, myalgia, arthralgia
-Photophobias, conjunctivitis, lacrimation and pain upon eye movement
-Sore throat.

Complicated= LRTI, CNS involvement

Question 6

Investigations of Infleunza

Answer 6

Laboratory testing- viral nasal or throat swabs for PCR

Question 7

Management of influenza

Answer 7

Adequate fluid and rest/ antivirals (oseltamivir/ zanamivir)