Upper respiratory tract infection

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Upper respiratory tract infection

• Dr. Aya Abdel Dayem
• Lecturer of chest diseases
• ASU- Egypt
• Ibn Sina college

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URTI
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Infectious Rhinitis (Common Cold)

• Causes
• Rhinovirus
• Corona virus
• Adenovirus
• Para influenza virus
• RSV

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Infectious Rhinitis (Common Cold)

• On Examination
• Nasal obstruction
• Rhinovirus
• Sneezing
• Complications
• Sinusitis
• Otitis media
• LRTI

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Allergic Rhinitis

• Etiology
• As asthma
• Treatment
• Avoid allergen
• Nasal cortico steroids
• Sodium chromoglycate

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Sinusitis

• Acute and Chronic
• Definition
• Inflammatory process involving the lining of
  paranasal sinuses

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Sinusitis (contd )

• Sinuses
• Frontal
• Ant. Ethmoidal
• Maxillary (most common)

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Sinusitis (contd )

• Etiology
• Secondary bacteria infection
• Strypt. Pn
• H. influenza
• Dental
• Swimming
• Fracture

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Sinusitis (contd)

• On Examination
• Nasal discharge
• Malaise
• Sinus tenderness
• ? smell

• Fullness
• Pain (? on leaning forward)
• Toothache
• Headache

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Sinusitis (contd )

• Investigations
• TLC ?
• CVS
• X-Ray sinus view
• CT Scan

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Chronic Sinusitis

• ? 3 months ? recurrence
• Treatment
• Medical
• Antibiotics
• Decongestant
• Surgical
• Antral lavage
• Inferior meatol
• Intra nasal antrostomy
• Sinus Endoscopy

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Laryngitis

• Acute (croup) Chronic
• Causes
• Viral
• Secondary bact.

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Laryngitis (cont.)

• On Examination
• Hoarse voice
• Dysphagia
• Pain on phonation
• Treatment
• Keep calm (voice rest)
• Oxygen
• Steroids
• Nebulization (normal saline)

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Thank You