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Your host: Andy HSI family medicine resident school 13 April 2016

SEASONAL YUCK JEOPARDY. Your host: Andy HSI family medicine resident school 13 April 2016. ‘Tis the Season. When to call in sick. Into the cave. Critters. Carpet bombing. Something for the Soul?. 100. 100. 100. 100. 100. 100. 200. 200. 200. 200. 200. 200. 300. 300. 300.

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Your host: Andy HSI family medicine resident school 13 April 2016

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  1. SEASONAL YUCK JEOPARDY Your host: Andy HSIfamily medicine resident school 13 April 2016

  2. ‘Tis the Season When to call in sick Into the cave Critters Carpet bombing Something for the Soul? 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500

  3. Example A public institution in the Pacific Northwest with a Husky named “Dubs” as its mascot What is the University of Washington?

  4. 100 For 100 in the season, most common ages affected by this condition. Childhood before 6 years

  5. 200 For 200, these people have 2 to 4 per year Adults

  6. 300 For 300, number of events for children per year. 3.2/year; cohort study from Pediatrics Vol 137, Article 45, Chonmaitree et al.

  7. 400 For 400, number of events in US estimated per year. 1 Billion

  8. 500 For 500, setting that increases risks. Daycare

  9. ‘Tis the Season When to call in sick Into the cave Critters Carpet bombing Something for the Soul? 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500

  10. 100 For 100 for calling in, usual duration of this condition 5 to 14 days

  11. 200 For 200, possible numbers of illnesses in first 2 years of life. 6-24

  12. 300 For 300, usual onset of viral shedding 24-48 hours before typical symptoms

  13. 400 For 400, chances of getting a URI from your toddler (partner). 41% and 33% for type 16 and type 55 rhinovirus

  14. 500 For 500, these conditions seem to increase chances of transmission High counts in nasal washings, on hands of donor, moderate sx, greater hours in contact (>3)

  15. ‘Tis the Season When to call in sick Into the cave Critters Carpet bombing Something for the Soul? 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500

  16. 100 Into the cave for 100, www.cholesteatomasurgery.org Normal TM

  17. 200 For 200, nrsmedic.blogspot.com Retracted

  18. 300 For 300 Bulging red AOM

  19. 400 For 400, chances of having AOM by 12 months of age. 46%; 6% at 3 months, 23% by 6 months

  20. 500 For 500, infants who developed AOM had this many URIs in a year. 4-5; 4.7 compared to 2.3 for infants w/o AOM

  21. ‘Tis the Season When to call in sick Into the cave Critters Carpet bombing Something for the Soul? 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500

  22. 100 In critters, for 100, this is a? intl.welchallyn.com Bulb insufflator. How many use it?

  23. 200 For 200, most common cause of AOM among infants without vaccines is? Strep pneumococcus

  24. 300 For 300, the colonization rate by critters increases risks of AOM 60% for cohort with AOM by 5 mos vs. 50% without AOM

  25. 400 For 400, these critters cause most of URIs RSV, influenza, rhino, metapneumo, adeno; +PCR does not predict AOM

  26. 500 For 500, the presence of this bacteria has higher association with AOM. Moraxella catarrhalis;greater with RSV present, no rhino effects

  27. ‘Tis the Season When to call in sick Into the cave Critters Carpet bombing Something for the Soul? 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500

  28. 100 For 100 in bombing, this is the first line choice Amoxicillin 80-100 mg/kg/day in 2 doses

  29. 200 For 200, the spectrum of organisms covered are? S pneumococcus, H influenza, Moraxella catarhalis

  30. 300 For 300, my child got a rash the last time he had amoxicillin Could be amoxicillin rash (not allergic) or Cefdinir (14 mg/kg per day in 1 or 2 doses) 125/5 or 250/5

  31. 400 For 400, I started the amoxicillin 3 days ago and she’s still having a fever Amoxicillin-clavulinate (80-100 mg/kg amoxicillin 2 times per day

  32. 500 For 500, main reasons to treat aggressively Reduce ear pain and prevent persistent effusion with hearing loss and speech delay

  33. ‘Tis the Season When to call in sick Into the cave Critters Carpet bombing Something for the Soul? 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500

  34. 100 For 100 in the soul kitchen, recommended for this condition Chicken broth, maybe with wonton

  35. 200 For 200, most recommended symptomatic treatment Saline nose drops; see Pediatric Advisor for recipe under “colds”

  36. 300 For 300, should not “Take 2 and call me in the morning.” Marcus Welby, MD Aspirin, association with Reye Disease, no roles for OTC cough and cold stuff, homeopathic meds

  37. 400 For 400, families always ask “cool or hot?” Humidifier or Vaporizer

  38. 500 For 500, treatment of choice Fluids and rest, no OTC children’s cough and cold meds

  39. Learners will participate in understanding; a)  epidemiology of seasonal diseases in childrenb) co-occurring risks of URIs and Acute Otitis Media based on new cohort studyc) review of treatment approaches

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