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437600
Bronchitis
Descripción
(Respiratory) Paediatrics Mapa Mental sobre Bronchitis, creado por v.djabatey el 12/12/2013.
Sin etiquetas
paediatrics
respiratory
paediatrics
respiratory
Mapa Mental por
v.djabatey
, actualizado hace más de 1 año
Más
Menos
Creado por
v.djabatey
hace más de 10 años
122
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Resumen del Recurso
Bronchitis
mixture of wheeze & coarse crackles
different to chronic bronchitis of adults
main sx in children
cough
persists about 2 weeks
lasts > 2 weeks
pertussis
Mycoplasma infections
fever
No evidence of speeding recovery
Abx
Cough suppressants
Expectorants
Whooping cough (pertussis)
highly contagious resp infection
causative pathogen
Bordetella pertussis
epidemics
every 3-4 mths
Clinical features
initially coryza
1 week
ff by
characteristic paroxysmal or spasmodic cough
followed by
characteristic inspiratory whoop (paroxysmal phase)
may be absent in infants
apnoea a key feature in infants
spasms worse @ night
often -> vomiting
vigorous coughing often followed by
epistaxis & subconjunctival haemorrhages
during a paroxysm
child goes red or blue in face
mucus flows from nose & mouth
paroxysmal phase
3-6 weeks duration
convalescent phase
sx gradually decrease
but may persist for many months
complications
uncommon
pneumonia
convulsions
bronchiectasis
mortality
significant
esp in infants
those who haven't completed primary vaccination @ 4mths esp vulnerable
Mx
infants & young children
severe spasms of cough or cyanotic attacks
admit to hospital
isolate from other children
Ix
culture of org on per-nasal swab
blood count
characteristic lymphocytosis (> 15 x 10^9)
Rx
Abx
erythromycin
decreases sx only if started during catarrhal phase
prophylaxis for close contacts
vaccination of unvaccinated infant contacts
reduces risk of developing pertussis
reduces severity of disease in those affected
doesn't guarantee protection
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