NSG 3107 Lecture Notes - Lecture 4: Racemic Mixture, Pertussis, Lobar Pneumonia
26 Apr 2018
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Document Summary
Ent shorter distances, shorter eustachian tubes, allowing access of pathogens to middle ear. Modifiable: not breastfed, malnutrition, anemia, smoking in the house, attendance at daycare. Other: born preterm, chronic lung disease, congenital heart disease, cystic fibrosis, chronic illness, immunocomprimised, allergies, asthma. Crackles (fine/coarse mainly on inspiration and persist with coughing: wheezes (high pitches due to airway narrowing, rhonchi (low pitches due to secretion, often clear with coughing) Bacterial, fungal: obstruction (foreign body, inflammation, neuromuscular, central. Upper respiratory tract: pharyngitis, epiglottis, laryngitis, tacheitis, otitis, media, tonsillitis (croup syndromes) Lower respiratory tract: tracheitis, bronchitis, bronchiolitis, pneumonia. Mostly viruses: rsv, non, polio viruses, adenovirus, parainfluenza, human meta-pneumovirus. 3 to 6 months: infection rate increases toddler and preschool ages: high rate of viral infections increased immunity with age. Red flags comiting/choking with cough increased wob fever > 5 days chest pain. Ear pain or fluid draining from ear. Becoming lethargic/drowsy or irritable cyanosis (cid:523)in upper airway disease a late sign(cid:524)
