Pediatric Primary Care Burns(completed 2022)

Pediatric Primary Care Burns(completed 2022)Sinusitis categories Acute 4weeks Chronic 12 weeks or longer Sinusitis Common Complaints Yellow or green nasal discharge Fever Sore Throat Facial Pain Pressure worse when bending forward Headache Toothache Nasal Congestion Snoring Periorbital Edema Nasal Sounding Speech Post-Nasal Drip Fatigue Sinusitis Predisposing Factors Recent URI Allergens Smoke Deviated Septum Dental Abscess Trauma Change in altitude Adenoidal hypertrophy Sinusitis Pathogenesis Obstruction of mucus flow due to edema of the nasal mucosa from allergies Common Cold Recent URI Sinusitis Diagnosis Done on symptoms alone Can be seen on CT Sinusitis Bacterial Organisms Streptococcus pneumonia Haemophilus Influenzae Morzxella Catarrhalis Acute Viral Sinusitis Treatment Decongestants/Antihistamines 6 months or older no more than a few days Saline Sinus Rinses 3 times a day Hydration Warm Compress on Face Cool mist Humidifier Acute Bacterial Sinusitis Pediatric 1st line Amoxicillin 45mg/kg/day BID 10-14 days 2nd line Augmentin 80-90mg/kg/day BID Acute Sinusitis Bacterial Duration Symptoms for more than 10 day Sinusitis Differential Diagnosis Viral URI Allergic Rhinitis Headache Allergic Rhinitis Inflammatory Changes of the Nasal mucosa due to allergy, atopic family history. May have seasonal or daily symptoms Allergic Rhinitis Signs & Symptoms Nasal Congestion Clear nasal discharge Nasal Itching conjunctival itching periorbital edema Coughing worse when laying down Sore throat Dry mouth loss of smell or taste headache