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6109005
Toth MUNGUIA

④ ironies
④ www.uonm
Joong

- -

-
14

htuaolnoisowin silt

⑦ furious
Irvin ④ niobium

Lympnode swelling white patches


Nasal Mouth

: O
rsv .

- O O
conjunctivitis
,

g
-
-


↳ inf turbinate
.
swelling -0 0.0251

aeedonoafn
Hadin
a non bid

↳ sinusitis

↳ Allergic Rhinitis

( Tepid sponge )

① drop ( 100 mg A ml )
[② Syr .
C 120 mg 15 Mt )

• neonates : to is
-
mglkg 1 dose of G -
8 hrs

Infants ,
children : 10-15 mg 1kg I dose of a-6 hrs
17

ASA - in

co -

(

⑦ suction and pressure control


② Nss nasal irrigation

( " Ms 1kg l day )


po tid pc
18
19

strep .
pyogon

Fusobacterium necrophorum
Mycoplasma pneumoniae,
Chlamydophila (or Chlamydia) pneumoniae
Hemolytic bac ( Blood Ww aerobic condition )
go agar
.

Prevent
to I hagocytosis CM Protein )
catalase ④
hemolytic bac ① S
coagulase

aureus
p ④

tf
-
.
.
,

complete hemolysis
( on wood agar
② s .

pyogenes
→ catalase -0
,
Bacitracin sensitive
comp Astro '
③ S .
agalactize →
catalase ① Bacitracin resistant
.
( Group B strep)
im w i

e -

(I
GABHS
I ⑦
exotoxin
A,B ,C

Fs
O

o
C S
pyogenes q . catalase -0
Bacitracin Sen .

Jug Foon smog foul smelling


-
breath
go
,

( G④g encapsulated
↳ Resp .
non

droplet -
o mis Tx meftmbcr sin
DOC :
Emthro ?? Wwi① ( b months -0 Hypertrophic
Pyloric stenosis

associated with exposure to swimming


so pool

Pharyngitis 74 Got conjunctivitis for 14 days
'

own

↳ ant
.
pharynx , on
lips , perioral skin

\ ④ Discrete papulo vesicular or ulceration at


post oropharynx
-

② severe throat pain ③ fever

( HHV IV )
↳ #
infect B cell -
→ Proliferation → Do ney cell

finding T As
EuBeta
0
immunologic Type II C GABA )
A

ist

Do 2nd
↳ ma
und C 2g )

'
mast cell / basophil histamine release
mechanism : Ag t IgE →
IgE Sunv ④ us -o

vasodilation / Bronchospasm Digs bias

egg
→ , ,
van ,

nun

otitis media


-

O
run

- -

-
-
-
o

g
S. pneumo-
niae Klebsiella spp. M. catarrhalis
M. catarrhallis

S. pneumoniae
M. catarrhalis
S. pneumoniae

-
30

# - _
31

I # I I

0
air fluid level
-
33

# # #

-
Ceftirizine
-

Des lo rata dine


-

Fexofe nadine
-

Lora ta dine
34

O S
t

-
① 1-365'd 'd ②
Mr
③ ⑨

Ties

S. pneumoniae
S. pneumonaie

M. catarrhalis
Amoxicillin S pneumoniae
S. pneumoniae
-

( 1aVv b hate H influenzae


fM
-
.

. car ta rr hat is

M. catarrhalis
37

④ on fois
qui ceftriaxone (50 -
900 )
Mk
day

I # #

I
38

S. pneumoniae

S. pneumoniae

S. pneumoniae
39

S. pneumoniae
40

to

M. catarrhalis
41

S. pneumoniae
43
44
47

÷
48

O
-

S. pneumoniae,

S. pneu-
moniae
proteus spp.)

7
49

O
O


② I

#
>

S. pneumoniae,
M. catarrhalis

S. pneu-
moniae
=
-

Severe
C #T
OM

O
209

-

mum
① ON C 2 yrs old
,
② Saidu vaccine within 1 -
3 months
>

/
③ manomwni-ugi.br

① fever 2399

dmqqwssssamniwz-3.li/dLo-0bbu'g8W

2 6221


'

Hier urticaria )
bbv'S 26227

brig 2 6227

a'wa : 2 times

'
' w'm

① then b- mglkgl day for 4 days

blight 2 6227

S. pneumoniae
C O O
Lo > 39°C

mm

mmmm

mmmm

observe 48 72- hrs -


continue ATBx for 5-7 days IN 724
I continue Umbrian

y days It 428
ATBx for 90
Ammonium'm
×
1

S. viridans, S. aureus
S. aureus S. epidermidis,
Fusobacteria, Prevotella, Veil-

M. tuberculosis, Epstein-Barr virus


1
17
70
71
72

(Acute laryngotracheobronchitis, viral croup)

000
,

↳④ involve larynx
d

-6M -
N -

Para influenza virus type 1-3 )


-

M> F -

influenza A&B MSV ,


'
73

Mycoplasma
pneumoniae
Streptococcus pyo-
genes, Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus
Moraxella catarrhalis
Beit :
Mycoplasma pneumoniae

o e

[D1+]

G stenosis
74

- Bacterial tracheitis

- Acute epiglottitis

- Foreign body aspiration

- Retropharyngeal abscess

- Severe allergic reaction


75

- Subglottic stenosis

- Laryngeal diphtheria

[D1+]
croup score < 4
croup score 4-7
croup score > 7

① (Hoarse cough ) ( Barking cough )


③ ( Delayed )


76

Alberta Medical Association

[C1+]

failure)
77

[D1+]

[D1++]
78

[D1+]

[D1+]

[D1-]

x x x [D1-]
x

1. Corticosteroids

8
79

o o
-

[A1+]

[A1+ [D1+]

④ Prednisolone
[A1+]

③ Nebulized budesonide [A2+]

[A2+]
[D1+]
80

2. Nebulized epinephrine

[A2+]

C) YE Q
[D1+] Max dose for a 44

[D1+]

=
81

O [D1+]

[D1+]
④ ⑤
mm

[D1+]

qo.com/k9q1mg/kg
[A1+]
O
-

O to OE -③
e④⑤_-
[D1+]
[D1+]

score 4-7) 1 :
1,0001005 oismllkg )
-

y

[D1++]

← ←
-

[D1+]

[D1+]
82

[D1+]

[D1+]
O

[A1+] [D1+]

\
[D1+]
i : nooo ( 0.05-0.5
mllkg )

[D1+]

[D1+]
new
83

¥
19,30,67 [D1+]


-

fax
62-65 [D1+]

sat
-

T
-
84

f-[D1+]
-
-


-


[D1+]
85

4%8
Matz .sn ,
! Max b- ml

O
T
T
Resp failure 9 ?
.

f)
O

( gstr.idgromuivmi.ws
③ ooiaunsiatu
889959.EE:9#fressure
③⑧
VANI
qnnadv
④ fever
>

.#
⑤ Enmeshes

(
⑥ mirrors.

she .ie
② aisiooriuenvnn
③ Rebound phenomenon

riagnnrnz-4hm

-50¥ -14=0
mmmm
mm

quantum
'o
oiosahairannahssiw
0.5 -
1mm
① Spoz
② RR
O
③ HR
④ Consciousness
⑤ Stridor O

mini
Parainfluenza virus

un
86
87

th
88
89
90
91
92
93

(Acute epiglottitis)

Pseudomonas aeruginosa
94

12

8-9,12-13

8-9,12-13

[D1-]
95

PMN

t .

[B4+]

[D1+] www.nngwiwm
-

epiglottis :

viral : 701 n'w , loiacono


-

croup
8,12-14

retropharyn-
geal abscess, peritonsillar abscess, uvulitis, bacterial tracheitis
96
non -
infection .

8-9,12-14

[D1++]

[D1++]

[D1++]

[D1-]

[D1+]

[D1+]

[D1+]
97

8-9,12-13

Max
Hib
600
my
8-9,12-13,15
p Rifampicin ( 20 we inn I
.

day?

O
[D1++]
98

[D1++]

Haemophilus
99

Haemophilus
100

th

th

th
101

(Bacterial tracheitis)

-
- -

Staphylococcus aureus
Streptococcus pneumoniae,
Streptococcuspyogenes,
102

1,2,6,7

[D1+]

[D1+/-]

[D1+]
103

Viral croup

Acute epiglottitis9

“tripod position”

Laryngitis

Diphtheria
104

[D1+]

[D1+]
[D1-]

Staphylococcus aureus, Streptococcus pneumoniae,

[D1+]

1,5,7,12,13
105

th
106
107

(Acute bronchitis)

Mycoplasma pneumoniae
108

Bordetella pertussis, Chlamydophila pneumoniae Mycoplasma


pneumoniae

Moraxella
catarrhalis

Blastomyces dermatitidis,
Candida albicans, Candida tropicalis, Coccidioides immitis, Cryptococcus
neoformans, Histoplasma capsulatum

2
109

1-6,9-10
110
111

Myco-
plasma pneumoniae

[D1+/-]
112

[D1+]
113

[D1+]

[D1+]

[D1+/-]
[D1--]

[D1+/-]

[D1+]
114

th

th
115

th
116

do GBS , E. coli
#
Streptococ-
cus pneumoniae Staphylococcus aureus,
Mycoplasma pneumoniae,
Chlamydophila pneumoniae
117

j E coli
.

Bacteria :

wioiwmeasle.TN

Bacteria :

C. trachomatis
118

O
-

-
119

[D1+]

[B2+]

[B1+/-]
120

S. pneumoniae
[B2+]

IT
-

2-3 d

② ③ ④


[B1++]
( sputum )

[B2--]
121

-
-

[C1+]

[C1++]
-
[B4++]
To
S. pneumoniae [B2+/-]

[C1+]

M. pneumoniae, C. pneumo-
niae C. trachomatis

[B2+]

M. pneumoniae C. pneumoniae

[B2+/-]
122

[B2+]

[B2+]

[C1+/-] Quan tiferon


g.

[D1+]
19,20
123

:
124

19,20,44

[D1+]

S. aureus
125

20

① ②

③ ④ ⑤ ⑥
[D1++]

[B4++]

[D1+]

[D1+]
126

[D1+]

[D1+/-]

[A2-]

[D1+]
[D1+]

[D1++]

[D1++]
127

[D1+]
[D1-]

[A1+]

c-
128

57

[D1+]

19,20,56,57

[A1+]

[D1+]

[D1+]

S. pneumoniae

M. pneu-
moniae C. pneumoniae
[B2+]
129

[D1+]

C. trachomatis

[D1+]
130
131

[B2+]
132
133

S. aureus
[D1+]

M. pneumoniae C. pneumoniae

S. pneumoniae
S. pneumoniae

[B2+]

[D1++]
S. aureus

[D1+]
134

20,56

[D1+]

[B4+/-]

S. pneumo-
niae S. aureus

S. aureus
135

[D1+]

S. aureus

S. pneumoniae

[D1+]

20

S. pneumoniae

S. aureus
136

S. aureus

Mycoplasma pneumoniae

[A1+]
[A1+]

[D1+/-]
137
138
139
140

hare
141
142
143

th
144

st

th
145

Streptococcus

coccus pyogenes, Mycoplasma pneumoniae


146

2-5 [D1+]

[C1+/-]
147

CT chest) [D1+]

[C1+]

[B3+]

[C1+]

[C1+/-]

[C1+]

[C1+/-]
148

[C1++]

[C1+]

[C1+]

[C1+]

[D1+]
149

[D1+/-]

2-4

[D1+]

[D1++]
[D1+]

[D1+]
2,5-7

Streptococcus pneumoniae Staphylococcus aureus


[C1++]
150

[C1++]

[B3++]

[D1+]

[D1+]
2,5,11

[D1+]

[D1+]
2,5,11-13

[C1+/-]
[D1+]
151

[D1+]

[D1+]
[D1++]

2,3,5,13-15

[B1+/-]
152

2,14,18-20 [C1+]

2,5

[D1+]

[D1+]

[D1+]
153
154
155

(Wheeze)
156
go
compression symptoms
-

↳#


I r

-
O -
I

o o
2

o -


-


157

D
158

of
=
159
160

O o

f cow's milk protein allergy !!


↳ cow 's milk protein allergy ! ! !


moiety 45$
Asthma finds
161

(Acute bronchiolitis)
162
[B1+]

[B1+]
164
165

[D1+]
4

2
[A1++]

[A2+]

[D1++]

[D1++]
166

Epinephrine [A1+-]
167

[A1+]

[A1-]

[A2+]
168

[A1-]
169

[A1++]

[A1+]
[A2++]
170

[A2++]

[A2+]

[A1+]

2
171
172
174
175

I
°
#

Xm °
Asthma
176

pneumoniae

:
Mycoplasma pneumoniae, Chlamydophila
177



178

[D1+]

mild to moderate dehydration

O -

[A1++]

O
179

[B1+]

[A2+/-]

[B1+]

[B1+]
180
181
182

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