Science Quiz / Foy Bronchiolitis and Pneumonia

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Can you name the Foy Bronchiolitis and Pneumonia in Pediatric Population ?

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QuestionAnswerExtra Info
Name an etiology of pneumonia in children. Wilms tumor is the most common pediatric renal malignancy, commonly metastasizes to the lungs
Viral or Bacterial: CXR is streaky/patchy
Rales on auscultation, usually in the context of fever and cough, often bacterial if associated with high fever and toxicity, often viral if associated with URI symptoms.
Name a hospitalization criteria for RSV. History of prior need for intubation with wheezing, Recent history of apnea or cyanosis, toxicity, dehydration, less than 2 months old and appears ill, poor social situation
Name a Diagnostic modality for Pneumonia.
Most common bacterial cause of pneumonia in neonates.
Drug used for prevention of RSV in high risk infants. Premature 29-32wks, less than 6mo in the beginning of RSV season. $1000 per injection or more.
A CXR which demonstrates infiltrates or space occupying lesions consistent with infiltrates or atelectasis.
Viral or Bacterial: CBC is normal-low WBC with Right shift
Viral or Bacterial: CBC - high WBC with Left shift
Name a common Clinical finding for diagnosis of RSV.
QuestionAnswerExtra Info
Viral or Bacterial: Abrupt onset and none to mild URI symptoms
Clinical findings in _____: Coryza, rhinitis, 101-102 fever for 3-4 days. 40% of infants progress to bronchiolitis, pneumonitis, or pneumonia.
Name a DDx for Bronchiolitis.
Viral or Bacterial: CXR is Lobar/segmental
RSV is a definite risk factor for ______.
Viral or Bacterial: Gradual onset and prominent URI symptoms.
Viral or Bacterial: Low-grade fever and lack of toxicity
Name a prevention method for RSV in the hospital.
Name a hospitalization criteria for Pneumonia. Failure to respond to outpatient treatment, pleural effusion, pneumatocele (cavity in the lungs), abscess, immunosuppression
______ pneumonia is spread to neonate by vaginal secretions. 12% of pregnant women infected. Causes 75% of afebrile pneumonias in infants.
Viral or Bacterial: High fever, toxic and ill appearing

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