Lower Respiratory Tract Infection in Children Flashcards Preview

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Flashcards in Lower Respiratory Tract Infection in Children Deck (52)
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1

What infection is associated with A?

Pneumonia

2

What infection is associated with B?

Bronchitis

3

What infection is associated with C?

Empyema

4

What infection is associated with D?

Bronchiolitis

5

What infection is associated with E?

Tracheitis

6

What are common bacterial infective agents?

Strep pneumoniae

Haemophillus influence

Moraxella catarrhalis

Mycoplasma pneumoniae

Chlamydia pneumoniae

7

What are common viral infective agents?

RSV

Parainfluenza III

Influenza A and B

Adenovirus

8

What are the principles of patient management?

Make a diagnosis

Assess the patient

Decide to treat or not to treat

9

Is the prevalence of lower respiratory tract infections increasing or decreasing?

Increasing

10

How common is tracheitis?

Uncommon

11

What can tracheitis be described as?

Croup which does not get better

12

What are symptoms of tracheitis?

Fever

Sick child

13

What is tracheitis usually caused by?

Staph or strep invasive infection

14

Why does tracheitis lead to struggling to breath?

Swollen tracheal wall and luminal debris narrows the tracheal lumen

15

How common is bronchitis?

Common

16

What are symptoms/signs of bronchitis?

Loose rattly cough with upper respiratory tract infection

Poast-tussive vomit

Chest free of wheeze/creps

17

What is bronchitis usually caused by?

Haemophilus

Pneumococcus

18

Why does bacterial bronchitis cause problems?

Disturbed mucociliary clearance

19

What kind of infection is bacterial bronchitis normally?

Secondary infection

20

How long can a cough last for with bronchitis?

25 days

21

What is a typical natural history of bacterial bronchitis?

Following upper respiratory tract infection

Lasts 4 weeks

60-80% respond

First winter bad

Second winter better

Third winter fine

Caused by pneumococcus/H flu

22

What should you do when you see persistant bacterial bronchitis?

1) Make the diagnosis

2) Reassure

3) Do not treat

23

Who does bronchiolitis normally affect?

Infants

24

What percentage of all infants does bronchiolotis affect?

30-40%

25

What is bronchiolitis normally caused by?

RSV

Paraflu

HMPV

26

What are symptoms of bronchiolitis?

Nasal stuffiness

Tachypnoea

Poor feeding

Crackles

Maybe wheeze

27

What long can brionchiolitis last?

More than 16 days

28

When do RSV cases peak?

During winter, especially around winter

29

What is usually seen when diagnosis bronchiolitis?

<12 months old

One of (not recurrent)

Typical history

30

What is the management of bronchiolitis?

Maximal observation

Minimal intervention