LRTI

Question 1

common bacterial organisms that cause LRTI (5)

Answer 1

Strep pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Mycoplasma pneumoniae, Chlamydia pneumoniae

Question 2

common viral organisms that cause LRTI?

Answer 2

RSV, parainfluenza III, influenza A and B, adenovirus

Question 3

What is Tracheitis?

• symptoms?
• organism ?

Answer 3

pus laid trachea

• croup that doesn’t get better
• fever

Staph or Strep invasive infection

Question 4

Treatment of Tracheitis?

Answer 4

Augmentin

Question 5

what is Bronchitis?

• how does a child present?
• organisms

Answer 5

Endobronchial infection

• Loose rattly cough with URTI
• Post-tussive vomit - “glut”
• no wheezes - the child is well

Haemophilus/Pneumococcus

Question 6

What is Bacterial bronchitis?

organism?

Answer 6

Disturbed mucociliary clearance
Minor airway malacia
RSV/adenovirus

Question 7

bacterial bronchitis normally follows a?

Answer 7

URTI?

- lasts 4-6 weeks

Question 8

Bronchiolitis - ORGANISM ?

Answer 8

RSV

- parable III, HMPV

Question 9

symptoms of Bronchiolitis?

Answer 9

Nasal stuffiness, tachypnoea, poor feeding
- crackles and wheeze
chest recession

Question 10

Features of LRTI?

Answer 10

48 hrs, fever (>38.5oC), SOB, cough, grunting

- REDUCED OR BRONICAL BS

Question 11

Signs of pneumonia? (3)

Answer 11

focal (LLZ)

• crepitations
• high fever

Question 12

Investigations for community acquired pneumonia?

Answer 12

CBC, pulse oximetry, sputum an blood cultures

Question 13

First line treatment?

Answer 13

Oral Amoxycillin first line
Oral Macrolide second choice
- when child is not vomiting

Question 14

LRTI vs Bronchiolitis

Answer 14

LRTI - all ages, rapid onset symptoms, fever

Bronchiolitis - <12 days - 3 days before peak symptoms
- rarely have fever

Question 15

Features of Pertussis?

Answer 15

Coughing fits
Vomiting and colour change
cough more than 2 weeks

Question 16

what Is a compilation of pneumonia?

Answer 16

Empyaema

- infection into pleural space

Question 17

Symptoms of Empyaema?

treatment?

Answer 17

chest pain
unwell

antibiotics and surgical drainage of the fluid