ABNORMAL PEDIATRICS : Respiratory Disorders (
Pharyngitis, Retropharyngeal Abscess), Tonsillec
Cardiovascular Disorders (Heart Failure, Congeni
Defects [PDA, ASD, VSD, AVSD, ToGA, TOF, CoAo
Kawasaki Disease, Rheumatic Fever), GI Disorder
Pyloric Stenosis, Intussusception, Hirschsprung’
Subject PEDIATRICS
RESPIRATORY DISORDERS
PERTUSSIS PHARYNGITIS
CA : Bordetella Pertussis “BACTERIA” — inflammation of pharynx / throat “SORE
MOT : direct / indirect contact STREPTOCOCCAL
incubation period : 5-21 days CA : Group A Betahemolytic Streptoc
communicability : catarrhal stage *** mas delikado
IMMUNITIES : *** 5-15 y/o
— Lasting Natural Immunity s/sx : “THROAT”
— Active Artificial Immunity : vaccine — temp high : fever
“DTap / DPT” : 2, 4, 6 months then 12-15 months + 4-6 y/o + 11-12 y/o — headache
+ every 10 y/o — rashes : soundpaper-like “SCARLATIN
— Passive Artificial Immunity : Ig *** start at the back of the ears
dx test : “CSPD” *** scar + fever = scarlet fever
1. Culture : 30-50% — optics are red
2. Serology : poor stabilized — appears ills
3. PCR : MOST SENSITIVE — throat inflammed
4. DFA (direct flourescent antibody) dx test : throat culture, RAT (rapid antige
stages : tx : PENICILLIN / CEPHALOSPORIN
1. Catarrhal Stage : 1-2 weeks complication : ACUTE GLOMERULONEPHR
FEVER
— common cold, mild sx
2. Paroxysmal Stage : 2-6 weeks
VIRAL
— thick secretions
CA : “viruses”
— 5-10 short rapid coughs followed by rapid deep inspiration with
vomiting : “paroxysmal cough” s/sx : mild sx
*** high pitch with crowing sound : WHOOPING COUGH dx test : n/a
3. Convalescent Stage tx : n/a
— gradual cesation of sx — analgesics
mgt : “NO SHAME” — gargle warm water
nutrition : small frequent feeding
RETROPHARYNGEAL ABSCESS
oxygen
— back throat pus
Pharyngitis, Retropharyngeal Abscess), Tonsillec
Cardiovascular Disorders (Heart Failure, Congeni
Defects [PDA, ASD, VSD, AVSD, ToGA, TOF, CoAo
Kawasaki Disease, Rheumatic Fever), GI Disorder
Pyloric Stenosis, Intussusception, Hirschsprung’
Subject PEDIATRICS
RESPIRATORY DISORDERS
PERTUSSIS PHARYNGITIS
CA : Bordetella Pertussis “BACTERIA” — inflammation of pharynx / throat “SORE
MOT : direct / indirect contact STREPTOCOCCAL
incubation period : 5-21 days CA : Group A Betahemolytic Streptoc
communicability : catarrhal stage *** mas delikado
IMMUNITIES : *** 5-15 y/o
— Lasting Natural Immunity s/sx : “THROAT”
— Active Artificial Immunity : vaccine — temp high : fever
“DTap / DPT” : 2, 4, 6 months then 12-15 months + 4-6 y/o + 11-12 y/o — headache
+ every 10 y/o — rashes : soundpaper-like “SCARLATIN
— Passive Artificial Immunity : Ig *** start at the back of the ears
dx test : “CSPD” *** scar + fever = scarlet fever
1. Culture : 30-50% — optics are red
2. Serology : poor stabilized — appears ills
3. PCR : MOST SENSITIVE — throat inflammed
4. DFA (direct flourescent antibody) dx test : throat culture, RAT (rapid antige
stages : tx : PENICILLIN / CEPHALOSPORIN
1. Catarrhal Stage : 1-2 weeks complication : ACUTE GLOMERULONEPHR
FEVER
— common cold, mild sx
2. Paroxysmal Stage : 2-6 weeks
VIRAL
— thick secretions
CA : “viruses”
— 5-10 short rapid coughs followed by rapid deep inspiration with
vomiting : “paroxysmal cough” s/sx : mild sx
*** high pitch with crowing sound : WHOOPING COUGH dx test : n/a
3. Convalescent Stage tx : n/a
— gradual cesation of sx — analgesics
mgt : “NO SHAME” — gargle warm water
nutrition : small frequent feeding
RETROPHARYNGEAL ABSCESS
oxygen
— back throat pus
