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11 Cards in this Set
- Front
- Back
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What percentage of infants with bronchiolitis are admitted to hospital?
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2-3 %
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What pathogens cause bronchiolitis?
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RSV (80% of the cases)
Others Human Metapneumovirus, parainfluenza virus, rhinovirus, adenovirus, influenza virus Mycoplasma pneumonia |
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Dual infection with which two viruses is associated with severe bonchiolitis?
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RSV and
Human metapneumovirus |
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What underlying diseases are most at risk of getting severe bronchiolitis?
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Bronchopulmonary dysplasia (infants born prematurely)
Cystic Fibrosis Congenital Heart Disease |
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What are the symptoms of bronchiolitis?
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Coryzal symptoms (precede)
Dry Cough Inc Breathlessness Feeding difficulty |
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Clinical Examination
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Sharp, dry cough
Tachypnoea Tachycardia Cyanosis or pallor Subcostal and Intercostal recession Hyperinflation of the chest (prominent sternum and liver displaced downwards) Auscultation: Fine end inspiratory crackles Prolonged expiration |
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How are respiratory viruses indentified?
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PCR analysis from nasopharyngeal secretions
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Is CXR nesessary?
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Not necessary in straight forward cases
CXR will show - Hyperinflation Air trapping Focal atelectasis |
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What is the management if bronchiolitis?
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Supportive
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What is the age group of children affected by bronchiolitis?
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1 - 9 months (90 %)
Rare after 1 year if age |
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What is the prognosis of bronchiolitis?
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Most infants recover in 2 weeks
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