1. 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

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

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

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

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

8. For 500, setting that increases risks.
Daycare

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

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

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

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

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

14. 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. 100 200 300 400 500 ‘Tis the Season When to call in sick Into the cave
Critters
Carpet bombing
Something for the Soul?

16. 100
Into the cave for 100,
Normal TM

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

18. 300
For 300
Bulging red AOM

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

20. 4-5; 4.7 compared to 2.3 for infants w/o AOM
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. 100 200 300 400 500 ‘Tis the Season When to call in sick Into the cave
Critters
Carpet bombing
Something for the Soul?

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

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

24. 60% for cohort with AOM by 5 mos vs. 50% without AOM
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. RSV, influenza, rhino, metapneumo, adeno; +PCR does not predict AOM
400
For 400, these critters cause most of URIs
RSV, influenza, rhino, metapneumo, adeno; +PCR does not predict AOM

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

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

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

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

30. 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
Alternatives:
Cefuroxime (30 mg/kg per day in 2 divided doses) Ceftin, Zincacef
Cefpodoxime (10 mg/kg per day in 2 divided doses) Vantin
Ceftriaxone (50 mg/kg IM or IV per day for 1 or 3 days, not to exceed 1 g per day)

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

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

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

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

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

36. Aspirin, association with Reye Disease,
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. For 400, families always ask “cool or hot?” Humidifier or Vaporizer

38. Fluids and rest, no OTC children’s cough and cold meds
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 children b) co-occurring risks of URIs and Acute Otitis Media based on new cohort study c) review of treatment approaches