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bronchial constriction Nasal Rhinorrhea postnasal Stuffiness drip sore cough throat Pathophysiology of the mon cold 13 The clinical manifestation ? Common cold ? congestion ? a runny nose ? sneezing ? Cough,sore throat ? sometimes vomiting and diarrhea ? Fever,malaise,abdominal pain 14 ? Specific type of URI ? Herpangina:coxsackieviruses group A. summer / fever, sore throat, 14mm vesicles /ulcers on anterior tonsillar pillars, softpalate,uvula,tonsils pharyngeal wall. ? Pharyngoconjunctival fever :type 3,7 adenovirus, spring /summer. High fever, sore throat, pharyngitis, conjunctivitis, cervical lymphadenopathy. 15 Complications sinusitis otitis media cervical lymphadenopathy Mesentery lymphadenopathy retropharngeal abscess pneumonia rheumatic fever acute glomerulonephritis 16 Differential diagnosis ?Flu ?Appendicitis ?Early phase of acute infectious disease 17 Cold Flu Low or no fever High fever Sometimes headache Commonly headache Stuffy, runny nose Sometimes stuffy nose Sneezing Sometimes sneezing Mild, hacking cough Cough, may progress Slight aches and pains severe aches and pains Mild fatigue Fatigue, may persist Sore throat Sometimes sore throat 18 Treatment ? increased fluid intake ?avoidance of secondhand smoke ?Saline nose drops ?bulb syringe remove the mucus ?cool mist humidifier ?antipyretics, such as acetaminophen,ibuprofen, decrease the disfort of colds. ?Do not give aspirin (associated with Reye syndrome) 19 Prevention ?Keep your child away from a person with a cold. ?Encourage your child to wash his/her hands frequently and not to touch his/her mouth, eyes, or nose until their hands are washed. ?Make sure toys and play areas are properly cleaned, especially if multiple children are playing together. 20 Acute infectious Laryngitis ?Etiology ? Virus or bacteria ? Typical anatomy 21 ? Clinical manifestations ? Barking cough, hoarseness, inspiratory stridor, nasal flaring, suprastern