Bronchiolitis, Bronchitis, Croup

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Professional POD (Exam 2) Flashcards on Bronchiolitis, Bronchitis, Croup, created by Amaal Salhieh on 20/04/2016.
Amaal Salhieh
Flashcards by Amaal Salhieh, updated more than 1 year ago
Amaal Salhieh
Created by Amaal Salhieh over 8 years ago
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Question Answer
What is the most common cause of bronchiolitis? RSV
What is the second most common cause of bronchiolitis? Parainfluenza
Bronchiolitis is most common in what group of people? People less than 2 yo Most common in 1st year of life
What season does bronchiolitis peak in? Winter
Treatment for bronchiolitis Supportive
What is the most common cause of acute bronchitis? (general) Viruses 90% of the time
Acute bronchitis affects what age groups? All age groups
What season does acute bronchitis peak in? Varies, depending on which infectious agent
Acute bronchitis treatment Symptomatic Abx not recommended unless bacterial
Croup distinct clinical syndrome barking cough
What is the most common cause of croup? Parainfluenza
What is the second most common cause of croup? RSV
What age group is usually affected by croup? Between 3 months and 3 years of age Peaks in year 2
Croup diagnosis Primarily clinical diagnosis "Steeple sign" on xray
Croup treatment Keep child comfortable Take into cool night air or breathe warm mist If severe, dexamethasone (steroid)
What is a major protein associated with paramyxoviridae? And what does it do? F protein (fusion protein) Promotes fusion of viral and host cell membranes Can cause cell-to-cell fusion (syncytia and giant cells)
RSV pathogenesis DIrect invasion of respiratory epithelium (no viremia) induces syncytia formation via F ptn Spreads cell-to-cell, hiding from immune system Immunity is not long-lasting
RSV is the most common cause of... bronchiolitis
RSV is the second most common cause of... croup
Parainfluenza virus Pathogenesis Infects URT Cell lysis and giant cell formation Usually no viremia May spread to lower tract
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