whooping cough and croup Flashcards
what bacteria is whooping cough caused by
bordatella pertussis
how is whooping cough transmitted
aerosolized
incubation period for whooping cough
7-10 days
stages of whooping cough
first week regular cold symptoms, no fever (catarrhal)
1-2 weeks later persistant cough to the point of breathlessness or vomiting and then inhalation brings a whoop sound (paroxymal)
cough may improve after 2-6 weeks (convalescent)
clinical presentation of whooping cough
sudden violent cough hallmark cough wiht whoop no fever clear rhinnorhea sweats posttussive vomitting
lab or radiagrophic findings for whooping cough
leukocytosis
general diagnosis for whooping cough
2 or more weeks of cough illness with at least one characteristic feature
non pharms for whooping cough
wash hands
humidifier
stay home from school until done antibiotics
avoid causes of paroxysm -cold weather, exercise
pharmacological treatment for whooping cough
azithromycin
10mg/kg day 1, 5mg/kg days 2-5
treat all household contacts prophalactically!!!
what causes croup
virus
usually parainfluenza virus type 1
what is the anatomic hallmark of croup
narrowing of subglottic airway restricting airflow
worsens when child cries, agitated, panics causig dynamic obstruction below the narrowing
inflammation of larynx
ages croup occurs
6monthd - 3 years
what is the hallmark symptom of croup
stridor (harsh vibrating noise)
barking cough
distressed breathign
clinical presentation of croup
starts off as common cold
1-2 days later develops into cough and fever
when to refer croup
stridor at rest drooling, inability to swallow difficulty breathign pale, cyanosis more than 7 days, worsens retractions around sternum and rib cage high fever
