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• Position child on side, HOB ≥

Viral or Bacterial
Tonsillitis Antibiotics 30°
Infection of tonsils • Assess for bleeding, airway
Tonsillectomy and VS
• Provide ice collar
• Keep throat moist
Immune response • Discourage coughing, throat
clearing, & nose blowing
• May have clots or blood
Chemical produced tinged mucous
by anaerobes Fever Inflammation • Clear fluids after gag reflex

Mouth Sore throat Mouth Snoring Hoarse Otitis


Redness
Odor breathing Voice Media

Rest and Acetaminophen or Warm salt-


 fluids Ibuprofen water gargle

Viral or other bacterial Group A streptococci


Pharyngitis Antibiotics
infection of pharynx infection of pharynx

Antibiotics Head-
Immune response Truncal, axillary, Abdominal ache
perineal rash pain
Pain
Inflammation Fever Enlargement of
w/exudate cervical nodes

Warm salt- Acetaminophen or Rest and


water gargle Ibuprofen  fluids

Upper respiratory
Otitis Media infection
Heat or cold

Numbing eardrops: Fluid and pathogens travel


Observe or
benzocaine upward, invade middle ear space
antibiotics

Acetaminophen or Streptococcus pneumoniae, Haemophilus influenzae, Viral causes resolve


Ibuprofen Moraxella catarhalis, or bacterial infection spontaneously

Lymphadenopathy Earache  Pressure behind TM

Drainage Hearing/speech
Crying, sleep Pulling on ear, Lethargy
from ear problems
problems head banging

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