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 a prevention method for RSV in the hospital.
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.
Clinical findings in _____: Coryza, rhinitis, 101-102 fever for 3-4 days. 40% of infants progress to bronchiolitis, pneumonitis, or pneumonia.
Name an etiology of pneumonia in children. Wilms tumor is the most common pediatric renal malignancy, commonly metastasizes to the lungs
Viral or Bacterial: CBC - high WBC with Left shift
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.
Viral or Bacterial: High fever, toxic and ill appearing
Name a common Clinical finding for diagnosis of RSV.
RSV is a definite risk factor for ______.
Name a hospitalization criteria for Pneumonia. Failure to respond to outpatient treatment, pleural effusion, pneumatocele (cavity in the lungs), abscess, immunosuppression
Viral or Bacterial: Low-grade fever and lack of toxicity
QuestionAnswerExtra Info
Viral or Bacterial: Gradual onset and prominent URI symptoms.
______ pneumonia is spread to neonate by vaginal secretions. 12% of pregnant women infected. Causes 75% of afebrile pneumonias in infants.
Most common bacterial cause of pneumonia in neonates.
Viral or Bacterial: Abrupt onset and none to mild URI symptoms
Viral or Bacterial: CXR is streaky/patchy
Viral or Bacterial: CXR is Lobar/segmental
Name a Diagnostic modality for Pneumonia.
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
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 DDx for Bronchiolitis.

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