What are the 3 kinds of lower respiratory tract infection?
May be viral, bacterial, or fungal
What are the symptoms of a LRTI?
Cough, shortness of breath, fever, generalized malaise, chest pain
How are LRTI diagnosed?
Auscultation of the lungs, x-ray, CRP blood test, microbiological tests, PCR
What is bronchitis caused by?
Inflammation of the lining of bronchial tubes
Viral (90%) or bacterial
What are the symptoms of bronchitis?
Nasal congestion or runny nose, sore throat, mild cough
Increased coughing >10 days, fatigue, fever, shortness of breath, tightness/pain in the chest
What does the physical examination for bronchitis consist of?
Physical examination:
Auscultation (rhonchi, wheezing)
Slight fever or may be afebrile
What is the treatment of bronchitis?
Suspension of training
Adequate hydration
Cough suppressant
Asthma inhalers
If other symptoms still present: NSAIDs, nasal decongestants
Usually resolves without antivirals/antibiotics
What happens if a bronchitis persists for longer than 3 weeks?
Alternative diagnosis should be considered (ex: asthma, pertussis)
What is the bronchitis RTS protocol?
Acute typically lasts 3-10 days (dry cough may last for several weeks)
Once symptoms resolve, it is usually safe to return to low levels of activity
Getting back to regular training levels may take a few weeks
What are the symptoms of pertussis?
Highly contagious, characterized by severe spasmodic coughing episodes
Bacterial infection
What is the treatment of pertussis?
Antibiotics and supportive care
What doesnt work: cough mixtures suppressants
What is the prevention for pertussis?
Pertussis vaccine is included in routine immunization in Canada
What are the 4 pertussis complications?
Pneumonia, apnea, rib fractures, seizures
What is the course of pertussis?
Incubation: 5-10 days
Stage 1: 1-2 weeks
Stage 2: 1-10 weeks
Stage 3: 2-3 weeks
What is pneumonia?
Infection that inflames the air sacs in lungs
Can be bacterial, viral, or fungal
What are the symptoms of pneumonia?
Persistent cough
Fever, chills, night sweats
Shortness of breath, chest pain, cyanosis
Headache, muscle ache
Fatigue
Confusion
What are the complications of pneumonia?
Myocarditis, pericarditis, meningitis, sepsis
What is the diagnosis and treatment for pneumonia?
Physical exam, x-ray, lab tests
Antibiotics/antivirals/antifungals
Pain management, cough suppressant, asthma inhaler, oxygen therapy
What is the RTS protocol for LRTI?
Lack of reliable studies to accurately guide RTS
Infections: neck check
Clearance form a physician
What causes a pneumothorax?
Spontaneous
Trauma
Damage from underlying disease
What are the symptoms of penumothorax?
Sudden chest pain and shortness of breath
What is the diagnosis and treatment for pneumothroax?
Physical exam, chest x-ray, CT scan
Small (less than 15%): conservative treatment with weekly x-rays
Large (>15% of lung space):
chest tube in the lung for re-expansion (for several days)
What is an important rule for treating a pneumothroax?
No strenuous training until properly treated and resolved
Repeat x-ray and physical exam
RTS is different for everyone
What are the signs and symptoms of asthma?
Wheezing (expiratory)
Cough, wheeze, chest tightness with exercise
Characterized by inflammation, increase mucus production and airway narrowing