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UPPER RESPIRATORY TRACT INFECTIONS IN CHILDREN ZORC, JOSEPH J. CLINICAL PEDIATRIC EMERGENCY MEDICINE EL SERVIER DOL, 10, 1016.CPEM.209.008 MARCH 2009. UPPER RESPIRATORY TRACT INFECTIONS (INCLUDING OTITIS MEDIA) ARE THE MOST COMMON ILLNESSES AFFECTING CHILDREN. ON AVERAGE, CHILDREN EXPERIENCE AROUND SIX TO EIGHT UPPER RESPIRATORY TRACT INFECTIONS (URTIS) EACH YEAR, ALTHOUGH THESE INFECTIONSUSUALLY ARE MIL AND SELF LIMITING, THEY OCCASIONALLY LEAD TO COMPLICATIONS THAT CAN BE LIFE THREATENING, MOST URTIS CAN BE PLACED WITHIN THREE MAIN CATEGORIES OF INFECTION: RHINOSINUSITIS, PHARYNGITIS, AND OTITIS MEDIA. WITHIN EACH CATEGORY OF ILLNESS THERE IS A RANGE OF RELATED CONDITIONS THAT MAY HAVE SIMILAR OR OVERLAPPING CLINICAL PRESENTATIONS. SOME JUDGMENT IS REQUIRED IN DETERMINING WHICH PART OFTHE RESPIRATORY MUCOSA IS MOST AFFECTED. IN THIS ARTICLE, THE TERM “RHINOSINUSITIS” IS USED TO DESCRIBE ILLNESSES WHIT PREDOMINANTLY NASAL SYMPTOMS (INCLUDING THE COMMON COLD, NASOPHARINGITIS, AND SINUSITIS). THE TERM “PHARYNGITIS” IS USED TO DESCRIBE ILLNESSES WHEN SORE THROAT IS MOST PROMINENT (INCLUDING TONSILLITIS) THE TERM “OTITIS MEDIA” IS USED TO DESCRIBE ILLNESSES WITH PREDOMINANTLYMIDDLE EAR SYMPTOMS (INCLUDING ACUTE OTITIS MEDIA [AOM]), OTITIS MEDIA WITH EFFUSION [OME] AND CHRONIC SUPPURATIVE OTITIS MEDIA [CSOM]. CHILDREN WHO HAVE COUGH AS THE PREDOMINANT SYMPTOM ARE CONSIDERED TO HAVE BRONCHITIS (A LOWER RESPIRATORY TRACT INFECTION) TOM MAKE MATTERS MORE COMPLICATED, ALL AREAS OF THE RESPIRATORY MUCOSA MAY BE AFFECTED, SIMULTANEOUSLY OR AT DIFFERENT TIMES, DURING ONE ILLNESS.THE CAUSE OF THESE RESPIRATORY MUCOSAL INFECTIONS MOST COMMONLY IS VIRAL BUT CAN BE BACTERIAL AND MANY INFECTIONS INVOLVE BOTH VIRUSES AND BACTERIA. IN DEVELOPED COUNTRIES, BOTH VIRAL AND BACTERIAL INFECTIONS ARE LIKELY TO BE SELF LIMITED PERSISTENT DISEASE IS MOST LIKELY TO INDICATE A BACTERIAL INFECTION
PREGUNTA 11
WHY ARE UPPER RESPIRATORY TRACT INFECTIONS SO DIFFICULT TO DIAGNOSE INCHILDREN?
a) THEY GET MANY OF THEM
b) THE SYMPTOMS OF DIFFERENT URTIS OVERLAP
c) THERE ARE DIFFERENT KINDS OF URTIS
d) VIRAL AND BACTERIAL INFECTIONS EXIST
PREGUNTA 12
AN EXAMPLE OF A LOWER RESPIRATORY INFECTION IS:
a) NASOPHARYNGITIS
b) BRONCHITIS
c) SINUSITIS
d) TONSILLITIS
PREGUNTA 13
THE CAUSE OF THE ILLNESS IN RESPIRATORY INFECTIONS IS BEST DETERMINED BY THE:a) SYMPTOMS
b) PRESENCE OF A VIRAL INFECTION
c) PRESENCE OF A BACTERIAL INFECTION
d) AFFECTED PART OF THE RESPIRATORY MUCOSA
PREGUNTA 14
THE MAIN AREA AFFECTED IN INFECTIONS TERMED “OTITIS MEDIA” IS THE:
a) EYE
b) EAR
c) NOSE
d) THROAT
PREGUNTA 15
OME, AOM, AND SCOM ALL BELONG TO THE FAMILY OF THE INFECTION CALLED:
a) BRONCHITIS
b) PHARYNGITIS
c)RHINOSINUSITUS
d) OTITIS MEDIA

FREQUENCY OF THE GERD SYMPTOMS IN ELDERLY PATIENTS WHO COME TO A FAMILY MEDICINE CLINIC OBJECTIVES: TO ASCERTAIN THE PREVALENCE OF GASTROESOPHAGEAL REFLUX DISEASE (GERD) IN ELDERLY PEOPLE ATTENDING TO FAMILY MEDICINE CLINICS: MATERIAL AND METHODS: THE STUDY WAS CONDUCTED BY USING A PROSPECTIVE DESIGN IN WHICH PARTICIPANTS WERE RANDOMLY SELECTED FROM A FAMILY MEDICINECLINIC LOCATED IN MEXICO CITY. THE STUDY WAS RUN FROM AUGUST TO SEPTEMBER 2003, AND INCLUDED PATIENTS AGED SIXTY YEARS OR OLDER, REGARDLESS OF GENDER. THEY SHOULD NOT HAVE COGNITIVE DAMAGE, WHICH WAS ASCERTAINED BY THE FOLSTEIN MINI MENTAL STATE EXAMINATION. THOSE PATIENTS THAT DID NOT ACCEPT TO PARTICIPATE AND THOSE HAVING INCOMPLETE OR ILLEGIBLE MEDICAL RECORDS WERE EXCLUDED. THESOCIO-DEMOGRAPHIC CHARACTERISTICS THESE AND CARLSSON DENT TEST WERE APPLIED. THE INFORMATION ABOUT DIAGNOSIS, DRUGS PRESCRIPTIONS, AND PHARMACOLOGICAL AND NO PHARMACOLOGICAL GASTROESOPHAGEAL PROTECTION WAS OBTAINED FROM THE MEDICAL CHARTS AND PRESCRIPTIONS. RESULTS: 400 ELDERLY PATIENTS WERE EVALUATED BY USING THE CARLSSON DENT TEST. GERD PREVALENCE WAS 25% (IC 95% 21- 29) THE AVERAGE AGER OF PATIENTS WITH...