Exam (elaborations)
Pediatric Pulmonology Questions And Answers
- Course
- Institution
Pediatric Pulmonology Questions And Answers Pediatric Pulmonology Questions And Answers Pediatric Pulmonology Questions And Answers
[Show more]
Content preview
Pediatric PulmAsthma < 18yo MC in.. - Females > males
bugs causing typical PNA - Streptococcus pneumoniae, Staphylococcus aureus, Group A
Streptococcus, Klebsiella pneumoniae, Haemophilus influenzae, Moraxella catarrhalis
*more acute onset, typica fever + cough + toxic appearance
MCC of atypical PNA in younger age groups - mycoplasma pneumoniae
What ear condition was historically associated with Mycoplasma pneumoniae infection? - Bullous
myringitis
what are these? - visible sebaceous glands that can appear as skin-colored, white, or red and are
present in the mouth, genitals, or face. They are not associated with measles or other infections
what are these? - koplik spots -- multiple red spots with white centers on the soft and hard palates
as well as the buccal mucosa bilaterally; assoc w/ measles
bugs causing atypical PNA - Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella
species
*more indolent onset, not the typical fever + cough + toxic appearing pt
RFs for asthma - Family hx, tobacco smoke, obesity, pollution, atopy, male (if >18yo)
Samter's triad is associated with ... - ASA induced asthma
Samter's triad - Allergic rhinitis w/ nasal polyps
Asthma
Sensitivity to ASA and other NSAIDs
List some triggers for asthma - Pollen, dust mites, animal dander, mold, cold air, exercise, GERD,
ASA/NSAIDs, beta blockers, stress, anxiety, viral resp infections
, 4 classic sx of asthma exacerbation - Wheezing, cough (worse at night), SOB or trouble breathing,
chest tightness
Describe the classic wheeze of asthma - Musical, high pitched, widespread
Worse with expiration & usually absent betw exacerbations
Signs/sx for impending resp failure - Cyanosis
Tachypnea
Inability to maintain resp effort
Depressed mental status
SpO2 < 90%
PEF < 25%
PaCO2 > 40mmHg
What kind of pattern is seen on pulmonary fx tests w/ asthma? - Obstructive — low FEV-1% (<70%)
BUT reversible when given a bronchodilator! Goes up by 12%
FENO: high — part of the pathophysiology of asthma
Management of asthma (chronic) - Everyone gets a rescue inhaler / albuterol neb treatments!
Step-wise fashion
1. First best controller is an ICS used daily
2. Then we add a LABA controller
3. Next, we incr dose of ICS
4. Eventually, once ICS dose is higher, we can add things like singulair
*always giving oral steroids with TRUE asthma exacerbations
*give ABX if pt presents with fever or long-standing URI sx
Management of asthma (exacerbations) - O2 support if SpO2 <90% or showing signs of resp distress
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectjoseph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78600 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now