Pulmonary Infectious Disorders
Acute Bronchiolitis
Lower respiratory infection
LOOK AT THE PATIENTS AGE (MC occurs 2-6months)
Wheezing, tachypnea, retractions
Tx: Oxygen, Hydration
**STEROIDS, NEBULIZERS ARE NOT INDICATED**
Acute Bronchitis
URI –> bronchitis
MC Viral
Tx: Supportive (+/- ABX if patient has risk factors)
Epiglottis
Patient is SICK AS S***
MCC = H. Influenza
Drooling, Tripoding, Stridor
Dx: Laryngoscopy (gold standard), Xray = THUMPRINT SIGN
Tx: MANAGEMENT AIRWAY, steroids, ABX
Croup
Inflammation of UPPER airway
MCC = Parainfluenza
**Barking seal like cough**
**STRIDOR**
**Xray = Steeple Sign**
Tx: Depends on severity
(An attending once explained it to me like this. In adults, a viral infection of the upper airway can lead to laryngitis. Similar situation here, however, the airway of a infant/toddler is a lot smaller so the symptoms are more severe)
Influenza
Abrupt onset of systemic symptoms (fever, myalgias, fatigue, chills, etc.)
Tx: +/- Tamiflu, supportive, increase fluids
KNOW INDICATIONS FOR TRIVALENT VS INTRANASAL VACCINE
Pertussis
AKA Whooping cough
Caused by Bordetella pertussis
3 stages (Catarrhal, Paroxysmal, Convalescent)
Coughing fits leading to LOUD INSPIRATORY WHOOP
Tx: Supportive, Macrolides
Pneumonia
Unbeatable chart located in PPP (Pay attention to patients history!!!)
TEST YOUR KNOWLEDGE NOW
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