Solutions
Children with dx of ______________ have a risk for future
asthma and wheezing, most get better within 5-7 days
brochiolitis
___________________ is the most common cause of acute
bronchitis
influenza
acute respiratory illness, ranges from mild to severe, highly
contagious, droplet, fomite transmission (surfaces), 24-48 hours
incubation period, contagious 1-2 days prior and then 7 days
following, year around but more common in fall and winter,
three strains
influenza
Influenza is more common in which seasons?
fall and winter
how is influenza transmitted?
droplet and fomite
incubation period for influenza
24-48 hours and 7 days following
Influenza _____: flu outbreak, strains change
A
,Influenza _____: smaller percentage of people
B
Influenza ___: mild illness
C
__________________: small changes or mutations in the genes
of the virsues that can lead to changes in the surface proteins of
the virus
antigenic drift
S/s of ________________: Adults
fever
chills
myalgias
malaise
more sudden onset
sometimes cough
sore throat
headache
erythematous oropharynx
lung sounds should be clear
influenza
S/s of _____________: Children
n/v
diarrhea
fever can be quite high
, children appear sicker
more likely to have lymphadenopathy on exam
uncommon to have dyspnea with this
influenza
High risk patients for Influenza
children under 5
pregnant woman
older than 65
chronic medical conditions (COPD, heart, liver, kidney)
Rapid tests for influenza have a higher sensitivity in _________
than ________
children than adults
this test is more accurate for influenza
PCR
If flu season or known flu exposure, what should or should not
be done to dx influenza
a test does not need to be done
Tx of influenza:
Oseltamivir (Tamiflu) x _____ days (if symptoms < ______
hours)
5 days; symptoms <48 hours
Oseltamivir
Tamiflu