Viral Wheeze Flashcards
1
Q
Virus px
A
Any age Usually under 39 temp Gradual onset Concurrent RTI, rash, conunctivitis in others at home Assoc myalgia, rash, mucous mem inv. non productive cough
2
Q
Bacteria px
A
Any age but esp infant Usually over 39 temp Abrupt onset No others ill at home Assoc systemic illness, rigors etc Wet productive cough
3
Q
Virus on examination
A
Resp distress
Diffuse bilat crackles, wheeze
No pleuritic pain
4
Q
Bacteria on examination
A
Resp distress and systemic feats
Unilat, confined decr or tubular sounds
Maybe pleuritic pain
5
Q
Viral wheeze px
A
Mostly pre school age Dry wheezy cough Laboured breathing Hyperinflation High pitch wheeze
6
Q
Viral wheeze cause
A
Often rhinovirus
Also eg adeno, influ, parainflu, metapneumo
7
Q
Viral wheeze mx
A
Salbutamol
Ipratropium
No ev for steroids
