Pneumonia and URTIs in Children
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Questions and Answers

What is a critical reason for admitting a child with suspected upper respiratory tract infection?

  • Presence of a cough
  • Mild respiratory distress
  • Fever above 38°C
  • Tenderness behind the ear (correct)
  • Which factor contributes to the high mortality rate from pneumonia in children under five?

  • Pneumonia can be caused by viruses, bacteria, or fungi (correct)
  • Most cases are resolved without treatment
  • Low incidence of respiratory symptoms
  • Bacterial infections are rare
  • Which of the following signs are associated with pneumonia in children?

  • Skin rash and fever
  • Mild headache and lethargy
  • Cough and cyanosis (correct)
  • Abdominal pain and diarrhea
  • What percentage of deaths in children under five in 2017 was attributed to pneumonia?

    <p>15%</p> Signup and view all the answers

    Which of the following is NOT a physical examination finding in pneumonia?

    <p>Elevated blood pressure</p> Signup and view all the answers

    What condition may require hospital admission if an infant shows tenderness behind the ear?

    <p>Mastoiditis</p> Signup and view all the answers

    Which of the following is a common symptom indicative of pneumonia in children?

    <p>Tachypnoea</p> Signup and view all the answers

    Which statement correctly describes the impact of pneumonia on child mortality?

    <p>Pneumonia is responsible for a significant number of deaths in children under 5 years old.</p> Signup and view all the answers

    What condition is classified as a lower respiratory tract infection (LRTI)?

    <p>Pneumonia</p> Signup and view all the answers

    Which of the following is a physical examination finding associated with respiratory distress in pneumonia?

    <p>Rales</p> Signup and view all the answers

    Study Notes

    Hospital admission criteria for URTIs

    • Hospital admission is recommended for children with:
      • Time-critical ABCD criteria
      • Diminished fluid intake
      • Tenderness behind the ear (possible mastoiditis)
      • Any respiratory compromise
      • All children under two years old

    Pneumonia

    • Pneumonia is a form of acute respiratory infection
    • Caused by viruses, bacteria, or fungi
    • Pneumonia accounts for 15% of all deaths of children under 5 years old
    • Pneumonia killed 808,694 children globally in 2017
    • Consolidation on x-ray is a sign of pneumonia

    Signs and Symptoms

    • Signs and symptoms include:
      • Cough
      • Fever
      • Tachypnoea
      • Nasal flaring
      • Chest indrawing
      • Cyanosis
    • Physical examination can reveal:
      • Crackles, absent breath sounds
      • Respiratory distress
      • Reduced oxygen saturations

    Upper Respiratory Tract Infections (URTIs)

    • Hospital admission criteria for URTIs in children includes:
      • Time-critical ABCD criteria
      • Diminished fluid intake
      • Tenderness behind the ear (possible mastoiditis)
      • Respiratory compromise
      • All children under two years old

    Pneumonia / LRTIs

    • Pneumonia is an acute respiratory infection caused by viruses, bacteria, or fungi.
    • Pneumonia is responsible for 15% of all deaths in children under 5 years old (globally).
    • In 2017, pneumonia caused 808,694 deaths in children globally.
    • Common signs and symptoms of pneumonia include:
      • Cough
      • Fever
      • Tachypnoea (rapid breathing)
      • Nasal flaring
      • Chest indrawing
      • Cyanosis (bluish discoloration of the skin due to low oxygen levels)
    • Physical examination findings may reveal:
      • Crackles or absent breath sounds
      • Respiratory distress
      • Reduced oxygen saturation levels

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    Description

    This quiz covers the hospital admission criteria for upper respiratory tract infections (URTIs) in children, with a focus on pneumonia. Learn about the causes, signs, symptoms, and the importance of early intervention in managing respiratory infections in young patients.

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