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Overview of some upper respiratory tract infections in pediatrics.
Upper Respiratory Tract Infections
Upper Respiratory Tract Infections
Raj Mandavia
A variety of viruses and bacteria can cause upper respiratory tract infections including acute bronchitis, the common cold, influenza, and respiratory distress syndromes. • Defining most of these patient diseases is difficult because the presentations connected with upper respiratory tract infections (URIs) commonly overlap and their causes are similar. • Upper respiratory tract infections can be defined as self-limited irritation and swelling of the upper airways with associated cough with no proof of pneumonia, lacking a separate condition to account for the patient symptoms, or with no history of COPD/emphysema/chronic bronchitis. Influenza Viruses • Small hairs (cilia) in the sinuses fail to properly move mucus out. This may be due to some medical conditions. • Colds and allergies may cause too much mucus to be made or block the opening of the sinuses. • A deviated nasal septum, nasal bone spur, or nasal polyps may block the opening of the sinuses. Why should you do the Skin Prick Test? SPT is an essential test procedure to find sensitization in IgE-mediated allergic disease in subjects with Hay fever (allergic rhinitis), asthma, rhinoconjunctivitis, Dermatitis (eczema), anapylaxis, urticaria, atopic eczema and food and drug allergy. Procedure for skin prick test This is not a painful test. A needle(lancet) is used to prick your skin during the test which is not at all painful or you lose any blood. Follow are the steps of the test. • Your skin is cleaned by alcohol • A nurse/technician marked your skin and put a drop of allergen beside every mark • Using a lancet the technician pricks your skin to allow a tiny amount of the solution to enter just below the surface • Now you should wait for a specific amount of time. Usually 30 min. • Now your allergist checks the marks for a observes your skin for signs of allergic reactions. If you are allergic to one of the substances tested, you’ll develop a raised, red, itchy bump (wheal) that may look like a mosquito bite. A nurse will then measure the bump’s size. • After the recording of the result, the nurse/technician clean your testing surface with alcohol
Upper Respiratory Tract Infections
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Respiratory tract infections (Upper and Lower)
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Viral Infections of the Respiratory Tract and Skin
Viral Infections of the Respiratory Tract and Skin
Viral Infections of the Respiratory Tract and Skin
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Chapter 3 Lower Respiratory Tract Infections
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Overview of some upper respiratory tract infections in pediatrics.
Upper Respiratory Tract Infections
Upper Respiratory Tract Infections
Raj Mandavia
A variety of viruses and bacteria can cause upper respiratory tract infections including acute bronchitis, the common cold, influenza, and respiratory distress syndromes. • Defining most of these patient diseases is difficult because the presentations connected with upper respiratory tract infections (URIs) commonly overlap and their causes are similar. • Upper respiratory tract infections can be defined as self-limited irritation and swelling of the upper airways with associated cough with no proof of pneumonia, lacking a separate condition to account for the patient symptoms, or with no history of COPD/emphysema/chronic bronchitis. Influenza Viruses • Small hairs (cilia) in the sinuses fail to properly move mucus out. This may be due to some medical conditions. • Colds and allergies may cause too much mucus to be made or block the opening of the sinuses. • A deviated nasal septum, nasal bone spur, or nasal polyps may block the opening of the sinuses. Why should you do the Skin Prick Test? SPT is an essential test procedure to find sensitization in IgE-mediated allergic disease in subjects with Hay fever (allergic rhinitis), asthma, rhinoconjunctivitis, Dermatitis (eczema), anapylaxis, urticaria, atopic eczema and food and drug allergy. Procedure for skin prick test This is not a painful test. A needle(lancet) is used to prick your skin during the test which is not at all painful or you lose any blood. Follow are the steps of the test. • Your skin is cleaned by alcohol • A nurse/technician marked your skin and put a drop of allergen beside every mark • Using a lancet the technician pricks your skin to allow a tiny amount of the solution to enter just below the surface • Now you should wait for a specific amount of time. Usually 30 min. • Now your allergist checks the marks for a observes your skin for signs of allergic reactions. If you are allergic to one of the substances tested, you’ll develop a raised, red, itchy bump (wheal) that may look like a mosquito bite. A nurse will then measure the bump’s size. • After the recording of the result, the nurse/technician clean your testing surface with alcohol
Upper Respiratory Tract Infections
Upper Respiratory Tract Infections
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Viral Infections of the Respiratory Tract and Skin
Viral Infections of the Respiratory Tract and Skin
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2.respiratory infections
1.
Respiratory Infections
2.
3.
4.
5.
6.
7.
8.
9.
10.
Pathological description of
pneumonia
11.
12.
13.
14.
15.
16.
Lobar pneumonia (upper
lobe – grey hepatisation), terminal meningitis
17.
Pneumonia – fibrinopurulent
exudate in alveoli (grossly “red hepatisation”)
18.
Pneumonia – neutrophil
and macrophage exudate (grossly “grey hepatisation”)
19.
20.
Pneumonia – fibrous
organisation
21.
22.
Bronchopneumonia
23.
24.
25.
26.
27.
28.
29.
30.
Immunosuppressed patient –
fatal haemorrhage into Aspergillus-containing cavity
31.
HIV-positive patient CMV
(cytomegalovirus) and “pulmonary oedema” on transbronchial biopsy….
32.
Special stain also
shows Pneumocystis
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
Primary TB –
Ghon Focus
44.
45.
Granulomatous inflammation with
caseous necrosis
46.
Acid fast stain
– spot the organism (a red snapper)!
47.
48.
49.
Secondary TB –
rapid death due to miliary disease
50.
Miliary white foci
– blood spread to lower lobe
51.
“ Galloping consumption”
– TB bronchopneumonia
52.
Decreased immunity –
many more organisms on acid fast stain
53.
54.
55.
56.
57.
58.
59.
Bronchiectasis with chronic
suppuration
60.
Bronchiectasis
61.
Bronchiectasis distal to
an obstructing tumour
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