Respiratory Disease
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IntroductionInfection of the respiratory tract aredescribed acc. To the anatomic area
of involvement The upper respiratory tract, or upper airway,
consist of the oronasopharynx, the pharynx, the
larynx and the upper part of the trachea.The lower respiratory tract consist of the lower
trachea, main stem bronchi, segmental bronchi,sub segmental bronchioles terminal bronchiolesand alveoli.
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Common Clinical Features
Cough
Dyspnea
Expectoration [ Sputum]
Chest in drawing
Chest pain
Cyanosis
Respiratory Sound like :!hee"ing
Stridor
Snoring
#runting
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$cute Respiratory %n&ection
• ARI and its complications are most frequentcondition of acute illness in infants and
children.
• I India, ARI is one ma!or cause of childrendeath.
• It is also one of the ma!or reasons for which
children are brought to the hospital and healthfacilities.
• About "#$ of patient death in pediatric ward is
due of ARI
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Classifcation • %epending upon the site of infection of respiratory
tract, ARI can be classified as follows&'
Acute upper respiratory infection &'
(ommon cold, rhinitis, asopharyngitis,
pharyngitis and otitis media.
Acute lower respiratory infection&'
)piglottitis, laryngitis, bronchitis,
pneumonias, bronchiolitis.
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Depending upon the anatomical
in'ol'ement o& ling theclassi&ication include the
&ollowing :
*ronchopneumonia
+obar pneumonia
neumonitis
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CausativeCausative
organismorganism• *acterial &' neumococcus, -taphylococcus,
streptococcus, . Influen/a, ). coli.
• 0iral &' Influen/a, 1easles, (hic2enpox
• 1ycoplasma
• 3ungal &' (andidasis• roto/al
• 1iscellaneous &' Aspiration neumonia,
(hemical neumonia etc.
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• asal %ischarge
• (ough
• 3ever
• 1alaise• Anorexia
• -ore throat
• Irritability
• (hest ain• (hills
• Tachycardia
• Respiratory distress
• )ar problem
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$cute (ronchitis :)e'er
Dry Cough
!hee"ing
*ild Constitutional Symptoms
Cough (ecome producti'e a&ter + days. Some
tachypnea is o&ten present
,n $uscultation -ronchi and coarse crepitation are
&ound '
$cute (ronchiolitis:Se'ere illness with se'ere Dyspnea
Cough
*ild to moderate &e'er is usually present
Chest retraction dehydration
Crepitation and diminished -reath sound
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Detail /istory taking$uscultation o& chest sound help in
diagnosis.
(lood test01C
D1C
ESR
Chest 2 Ray
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3leural E&&usion
Emphysema
1ung a-scess
CC)
Respiratory &ailure*etastasis Spread may cause
*eningitis
Septic arthritis
,steomyelitis
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Management0reatment upon type o& illness se'erity o& in&ection
and associated complication.
0he Standard treatment &or childhood $R% is
recommended -y nation $R% Control programespecially &or 3rimary health setting.
0he child with 4 no pneumonia5 can -e treated at home
with remedies &or symptomatic treatment [ &e'er and
Cough] and does not re6uired anti-iotic therapy.
0he child with 4 pneumonia5 can -e treated in out patient
department with oral anti-iotic and other symptomatic
treatment like antipyretic and (ronchodilator.
0he child with 4 Se'ere pneumonia5 Should -e
hospitali"ed urgently and re6uire parenteral anti-iotic
with symptomatic treatment.
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•Supportive general measureBed rest
isolation
suctioning to remove secretions fromtracheobronchial tree adequate fluid and dietary
inta2e
hygienic measures, clearing of air passage and nosemonitoring of child condition
chest physiotherapy and treatment of complications.
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