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Viral infections-URI/common cold
Manifestations
Treatment
Complications
- Most common resp tract infection
- Highly contagious even more symptoms occur
- Caused by one of the more that 200 strains of viruses
- Spread by droplet contamination during cauging, sneezing, or direct contact
Red nasal membranes, Rhinnorrhea, sore throat, low grade fever, malaise, HA, musc ache
Can treat with OTC. Need bedrest. Hydrate well. Have HTN? if they do make sure they take the right meds
may end up with virus and pneumonia--antibiotic won't work--may get secondary complication such as otitis media of sinusitis.
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Influenza
- A highly contagious disease characterized by corysa (cold like symptoms), fever, cough, HA, malaise.
- Usually occurs as epidemic.
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Sinusitis
- An inflammation of the mucous membranes of one or more of the sinuses. develops when nasal membranes swell and sinuses are blocked.
- May be complication of URI or influenza.
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Pharyngitis or Tonsillitis
Viral or bacterial inflammation of infection, commonly group A beta-hemolytic streptococcus
- pharyngeal tonsils (adenoids)- upper pharynx
- palantine tonsils- on either side of the soft palate in the throat
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Rhinitis
Inflammation of the mucous membrane of the nose, usually accompanied by a severe discharge of secretions
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Laryngeal inflammations and Infections
Laryncotracheobronchitis
- (Croup)
- Inflammation of the larynx, trachea, and major bronchi
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Laryngeal inflammations and Infections
Epiglottitis
Usually caused by H. flu, a rapidly progressive cellulitis which threatens the airway by causing edema of the epiglottis; may prevent movement or air in and out of the lungs
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Laryngitis
Inflammation of the mucous membranes lining the larynx , causes edema of the vocal cords, horseness and aphonia (without speech)
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Laryngeal inflammations and Infections
Diptheria
A contagious desease cause by Cornebacterium diptheriae, spread by droplet infection; rare due to routine immunizations in childhood; thick, grey membrane forms and affects tonsils and pharynx.
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Laryngeal inflammations and Infections
Pertussis
- (Whooping cough)
- Highly contagious, caused by Bordetella pertusis; has been rare due to routine childhood immunizations, but is reappearing; toxins from the bacteria interfere with the ability of the pt to clear resp secretions
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Epistaxis
- (nose bleed)
- precipitated by trauma, dry nasal membranes, infection, substance abuse, hypertension, bleeding disorder, anticoagulants; unually affects anterior nasal septum
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Nasal Trauma or Surgery
Most common is a broken bone, bilateral fracture is most common where both nasal bones are disphaced to one side; will also usually experience black eyes, swelling, and bony crepitus
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Obstructive Lesions
Choanal Atresia
A congenital obstruction of the posterior nares by an obstructing membrane of bony growth
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Obstructive Lesions
Deviated Septum
A bending or shifting of the nasal septum causing a blockage, usually a result of injury or infection; requires surgery to correct
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Obstructive Lesions
Nasal polyps
Benign "grape-like" growths of the mucous membrane; interferes with air movement and often obstruct sinus openings
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Obstructive Lesions
Foreign Bodies
More common in children--remove only if sure you can get it
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Laryngeal Obstruction
Since the larynx is the narrowest portion of the upper airway, any obstruction may be life-treatening
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Laryngeal Trauma
May be result of MVA, assults, difficult intubation, soft tissue trauma, fracture of the thyroid or cricoid cartilage
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Obstructive Sleep Apnea
An interrmittent absence of airflow through the mouth and nose during sleep
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Central Sleep Apnea
A pathological disorder causes an impairment in the neurological drive to the resp muscles
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