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Kaplan Qbank USMLE



Author5 Posts
  #1

1. Barking cough: Croup - by Parainfluenza virus
2. Whooping cough: Pertussi

What is the treatment for each one?


Edited by elitoki on 08/29/07 - 01:12 PM

  #2

i think whooping cough is characteristic of brodetella pertusis infection...

as far as the rx goes

1.CROUP- if mild....just humidfied air..steam ..whatever
if it gets severe....try recemic epinephrine with/without steroids......before we intubate...severre means.....stridor at rest....accessory muscles working...Pao2 falling..etc
2.whooping cough---any age/any immumization status/any stage of disease....."erythromycin -14 days" is DOC...note erythro doesnt affect paroxysmal stage duration......but it certainly helps decreasing spread.and clinical status..
plus give erythro to house hold contacts.....kids <6 months could get severe disease ...so hospitalise them...


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  #3

Ups~
shocked Thanks for correction grin

  #4

Yes U r right~grin

  #5

Also the treatment for younger than 1 mo of age is Azythromycin and in infants the catarrhal period may manifest as apneic spells and respiratory distress.








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