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Study Notes Pediatrics

Study Notes Pediatrics


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Published by MedShare
Study Notes Pediatrics
Study Notes Pediatrics

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Published by: MedShare on Apr 01, 2010
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* 14yo is seen by his physician because of fever, headaches, myalgia, chills, and cough.
* Every year this is a wave of influenza, vaccines developed based on yearly serotypes.
* Types A and B are responsible for epidemics.
* Older children present like adults with typical symptoms. Can get flushed face, myalgia, cough, chills for 2-5 days,
nasal congestion and cough for 4-10 days. Younger children do not get as much influenza, but can have symptoms
of laryngotracheitis or bronchiolitis or upper respiratory infections.
* Diagnosis from nasal swab or nasopharyngeal washes, can do immunofluorescence antibodies.
* Treatment is amantadine and rimantadine for serious cases, usually don’t help much. Antivirals have to be given
very early and usually by the time the patient gets to the doctor it is too late.
* Influenza treatment is generally supportive.
* Worry about secondary bacterial infections. Hard to differentiate flu from other viral infections.
* With adenovirus, patient presents with fever, sore throat, and conjunctivitis. Usually seen in the spring and
summer. Incubation period is 2-14 days. Can cause diarrhea. Look for pharyngitis, rhinitis, conjunctivitis.
* Can do nasal washes for adenovirus, can do fluorescence antibodies and cultures.
* Adenovirus treatment is supportive.


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