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Peds: Cough and Congestion
Peds: Cough and Congestion Exam 1
45
Anatomy
Graduate
02/22/2012

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Term
gold standard for imaging of sinuses:
Definition
CT
Term
MC causes of sinusitis:
Definition
- Strep. pneumo
- H. flu
- M. cat
- Viruses
Term
first choice tmt sinusitis:
Definition
- Amoxicillin 20-40 mg/kg/d divided bid x 14 days
Term
2nd choice tmt sinusitis:
Definition
- Amoxicillin/Clavulanate (Augmentin) good for kids with hx of sinusitis or otitis media
- this drug renders PCN as effective as it once was
-
Term
3rd choice tmt for sinusitis:
Definition
Bactrim (TMP/ZMX if greater than 2months, 50=10 mg/kg/bid
Term
Drug for sinusitis in PCN allergic pts:
Definition
Azithromycin (bacteriostatic macrolide)
Term
MC dx in peds:
Definition
Otitis Media
Term
MCC of AOM:
Definition
- Strep pneumo
- H. flu
- M. cat
- virususes
Term
3 criteria for certain dx of AOM:
Definition
- rapid onset
- middle ear effusion (buldging)
- middle ear inflammation
Term
If less than 6 months, and you have certain or uncertain dx of AOM, what do you do?
Definition
antibiotics
Term
From 6 months to 2 years uncnertain dx:
Definition
1. Antibiotics
2. observation is an option
Term
greater than or equal to 2 years certain or uncertain dx:
Definition
- certain dx: abx or observe
- uncertain dx: observe
Term
Greater than or equal to 2 y/o with uncertain dx of AOM:
Definition
observe, have pt back in 3 days
Term
AOM tmt:
Definition
Amoxicillin 80-90 mg/kg/day divided bid for 10 days
Term
PCN allergic tmt for AOM:
Definition
- 2nd or 3rd generation Cephalosporin
- Macrolide (Azithromycin for 5 days not 10)
Term
Cold meds should not be used in:
Definition
- DEFINITELY NOT UNDER AGE 2
- PROBABLY NOT UNDER AGE 4
Term
Follow up with AOM:
Definition
- improvement expceted within 24-48 hours
- follow up in 2 weeks
Term
AOM prophylaxis:
Definition
- Pneumococcal vaccine
- Breast feeding
- Smoke free environment
- No bottles in bed
- Antibiotic prophylaxis: amoxicillin 20-30 mg/kg/d or Sulfasoxazole 50 mg/kg/day
Term
Dx of OME made with:
Definition
pneumatic otoscopy
Term
Bacterial pharyngitis tmt:
Definition
- PCN G Benzathine
- Amoxicillikn
- Cephalexin
- Macrolides (Erythro or Azithro)
Term
Causes of Croup:
Definition
- Parainfluenza
- RSV
Term
croup ss:
Definition
- cough
- inspiratory stridor
- low grade fever
- mild distress
- maybe wheezing
Term
DDX OF CROUP:
Definition
- BACTERIAL TRACHEITIS
- EPIGLOTTITIS
Term
Tripod position
Definition
epiglottitis
Term
thumb sign:
Definition
epiglottitis
Term
Bacterial tracheitis is usually in __ year olds following __.
Definition
4-5 y/o
croup
Term
MCC of Bacterial tracheitis:
Definition
Staph. aureus
Term
croup treatment:
Definition
- oral/IM steroids
- cool mist/moisture
Term
more serious croup tmt:
Definition
- inpatient IM or po steroids
- recemic epi nebulizer
Term
croup prognosis:
Definition
very good
lasts about 5 days
Term
MCC of bronchiolitis:
Definition
RSV
Term
Bronchiolitis facts:
Definition
- peaks b/w 2 and 6 months
- uncommon after age 3 y/o
- very contageous
- 50% have had this by age 2
Term
Bronchiolitis symptoms:
Definition
- cold like symptoms at first
- over 3 days, increasing rhinorrhea and cough
- low grade temperature
- Audible breathing, particulary expriration
- Trouble feeding
Term
Bronchiolitis tmt outpt:
Definition
- supportive (humidifer, hydration, suction, antipyretics)
- bronchodilators?
- oral steroids?
Term
Reasons for hospitalizing bronchiolitis:
Definition
- less than 6 months old
- Not EDP
- Tahypneic
- Accessory muscles
- Hypoxic
- No follow up
- Poor feeding
- Congenital issues
Term
Bronchiolitis prevention:
Definition
Palizumab, indicated for certain high risk populations

15mg/kg/month through RSV season (November to March)
Term
birth to 1 month pedi pneumonia:
Definition
- Group B strep
- Coliforms
- Listeria
Term
1-3 month pedi pneumoniae:
Definition
- Viruses
- C. trac
- Strep pneumo
Term
older kids pedi pneumonia:
Definition
- Viruses
- C. trac.
- Strep. pneumo
- Mycoplasma
Term
strongest predictors of pneumonia in kids:
Definition
- Fever and/or Cyanosis
- Plus greater than 1 sign of respiratory distress: tachypnea, cough, nasal flaring, retractions, rales, decresed breath sounds
Term
symptoms of bacterial pneumonia:
Definition
- abrupt onset fever > 101.3
- productive sounding cough
- systemic toxicity: decreased periph perfusion with delayed capillary refill, lethargy, tachycardia, tachypnea
Term
4 months to 5 y/o outpt pneumonia tmt;
Definition
- Rocephin (ceftriaxone) shot

(or high dose amoxicillin)
Term
Outpt treatment > 5 y/o:
Definition
macrolide (azithromycin or other)
Term
Inpt peds pneumonia tmt;
Definition
- IV PCN or Cephalosporin plus macrolide
Term
CXR for following reasons in preschool age children:
Definition
- Febrile
- Tachypnea (> 40 bpm)
- Cough
- Crackles
- No coryza, wheezing, or asthma hx
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