Term
| gold standard for imaging of sinuses: |
|
Definition
|
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Term
|
Definition
- Strep. pneumo
- H. flu
- M. cat
- Viruses |
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Term
| first choice tmt sinusitis: |
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Definition
| - Amoxicillin 20-40 mg/kg/d divided bid x 14 days |
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Term
| 2nd choice tmt sinusitis: |
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Definition
- Amoxicillin/Clavulanate (Augmentin) good for kids with hx of sinusitis or otitis media
- this drug renders PCN as effective as it once was
- |
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Term
| 3rd choice tmt for sinusitis: |
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Definition
| Bactrim (TMP/ZMX if greater than 2months, 50=10 mg/kg/bid |
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Term
| Drug for sinusitis in PCN allergic pts: |
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Definition
| Azithromycin (bacteriostatic macrolide) |
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Term
|
Definition
|
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Term
|
Definition
- Strep pneumo
- H. flu
- M. cat
- virususes |
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Term
| 3 criteria for certain dx of AOM: |
|
Definition
- rapid onset
- middle ear effusion (buldging)
- middle ear inflammation |
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Term
| If less than 6 months, and you have certain or uncertain dx of AOM, what do you do? |
|
Definition
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Term
| From 6 months to 2 years uncnertain dx: |
|
Definition
1. Antibiotics
2. observation is an option |
|
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Term
| greater than or equal to 2 years certain or uncertain dx: |
|
Definition
- certain dx: abx or observe
- uncertain dx: observe |
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Term
| Greater than or equal to 2 y/o with uncertain dx of AOM: |
|
Definition
| observe, have pt back in 3 days |
|
|
Term
|
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) |
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Term
| Cold meds should not be used in: |
|
Definition
- DEFINITELY NOT UNDER AGE 2
- PROBABLY NOT UNDER AGE 4 |
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Term
|
Definition
- improvement expceted within 24-48 hours
- follow up in 2 weeks |
|
|
Term
|
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 |
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Term
|
Definition
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Term
| Bacterial pharyngitis tmt: |
|
Definition
- PCN G Benzathine
- Amoxicillikn
- Cephalexin
- Macrolides (Erythro or Azithro) |
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Term
|
Definition
|
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Term
|
Definition
- cough
- inspiratory stridor
- low grade fever
- mild distress
- maybe wheezing |
|
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Term
|
Definition
- BACTERIAL TRACHEITIS
- EPIGLOTTITIS |
|
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Term
|
Definition
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Term
|
Definition
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Term
| Bacterial tracheitis is usually in __ year olds following __. |
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Definition
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Term
| MCC of Bacterial tracheitis: |
|
Definition
|
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Term
|
Definition
- oral/IM steroids
- cool mist/moisture |
|
|
Term
|
Definition
- inpatient IM or po steroids
- recemic epi nebulizer |
|
|
Term
|
Definition
very good
lasts about 5 days |
|
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Term
|
Definition
|
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Term
|
Definition
- peaks b/w 2 and 6 months
- uncommon after age 3 y/o
- very contageous
- 50% have had this by age 2 |
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|
Term
|
Definition
- cold like symptoms at first
- over 3 days, increasing rhinorrhea and cough
- low grade temperature
- Audible breathing, particulary expriration
- Trouble feeding |
|
|
Term
|
Definition
- supportive (humidifer, hydration, suction, antipyretics)
- bronchodilators?
- oral steroids? |
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Term
| Reasons for hospitalizing bronchiolitis: |
|
Definition
- less than 6 months old
- Not EDP
- Tahypneic
- Accessory muscles
- Hypoxic
- No follow up
- Poor feeding
- Congenital issues |
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Term
| Bronchiolitis prevention: |
|
Definition
Palizumab, indicated for certain high risk populations
15mg/kg/month through RSV season (November to March) |
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Term
| birth to 1 month pedi pneumonia: |
|
Definition
- Group B strep
- Coliforms
- Listeria |
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Term
| 1-3 month pedi pneumoniae: |
|
Definition
- Viruses
- C. trac
- Strep pneumo |
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Term
| older kids pedi pneumonia: |
|
Definition
- Viruses
- C. trac.
- Strep. pneumo
- Mycoplasma |
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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 |
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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 |
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Term
| 4 months to 5 y/o outpt pneumonia tmt; |
|
Definition
- Rocephin (ceftriaxone) shot
(or high dose amoxicillin) |
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Term
|
Definition
| macrolide (azithromycin or other) |
|
|
Term
|
Definition
| - IV PCN or Cephalosporin plus macrolide |
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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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