Paediatric ENT - Laryngology Flashcards Preview

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Flashcards in Paediatric ENT - Laryngology Deck (12)
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1
Q

What causes most sore throats?

A

Tonsilitis

2
Q

Explain the microorganisms causing tonsilitis?

A

If bacterial - Most likely Beta Haemolytic Strep (e.g. Strep Pyogenes)

If Viral - Most likely EBV (Epstein Barr)

3
Q

What are the major complciations of tonsillitis?

A

Quinsy - A peritonsillar Abscess

Glomerulonephritis - due to strep spread

4
Q

How do we treat quinsy?

A

Drainage and Abx

5
Q

How do we treat tonsillitis?

A

Supportive Care

Antibiotics

6
Q

What makes children more prone to airway issues than adults?

A
  • Short neck
  • Narrow Subglottic Issues
  • Larger tongue, tonsils and epiglottis relative to rest of airway
7
Q

What would you expect to see in the history of a child with laryngeal airway problems?

A
  • History of Foreign Body
  • Recent Illness
  • Stridor (Inspiratory)
  • Feeding Issues
8
Q

List some issues that can cause paediatric laryngeal problems

A
Epiglottitis
Laryngomalacia
Neck Abscess
Lumps:
 - Thyroglossal cyst
 - Branchial Cyst
 - Cystic Hygroma
 - Cervical Lymphadenopathy
9
Q

What is a cystic Hygroma?

A

Large cyst like cavities of lymphatic tissue, contains lymph

10
Q

How do we manage epiglotitis?

A

Airway support

IV Abx +/- Steroids

11
Q

What is laryngomalacia?

A

Poor/late development of the laryngeal cartilages.

Causes the cartilage to collapse as you breath so yo end up with stridor, more often when laying prone

12
Q

How do we handle laryngomalacia?

A

If its not causing them problems we leave it as the cartilage usually develops eventually.