Common cold (coryza)
- Commonest viral infection
- Causative agents
- Rhinovirus
- Corona virus
- Influenza / parainfluenza
- Respiratory syncytial
- Adenovirus
- Others
- Predisposing factors
- Climate
- Environment, temperature and humidity
- Immune status
- Fitness
- Nutrition and Vitamin deficiency
- Mode of transmission
- Droplet and dust
- Droplet nuclei
- contact
- C/F
- burning sensation at back of nose
- Nasal stuffiness, rhinorrhoea and sneezing
- Low grade fever , myalgia
- Self-limiting and resolves in 2-3 weeks.
- T/t
- Complete rest
- Hot bath: Inhalation of menthol or tincture of benzoid
- Analgesics and antipyretics
i.
Aspirin 300mg to600mg sos (pc)
ii.
PCM 500mg sos
- Antihistaminics
i.
Cetrizone 10mg to 20 mg BD
1.
Child 2-6yrs 2.5mg BD or 5mg OD
2.
>6yrs 10mg OD
ii.
Chlorpherarmine 4mg tds
1.
1-2 yrs
1mg BD
2.
2-5yrs
1mg tds (max=6mg/day)
3.
6-12yrs 2mg tds (max=12mg/day)
iii.
Fexofenadine
60mg BID
1.
>2yrs 0.23mg/kg/day (4-6)hrs
2.
2-6yrs 1mg
3.
6-12yrs 2mg
4.
>12yrs 4mg of 4-6 hrs
- Nasal decongestant
i.
Ephederine
nasal drop 2-3 drps
ii.
Xylomethanzolin nasal drop 2-3drps
- Antibiotics in complications
i.
Amoxicillin 250-500mg tds 5-7 days
ii.
Tetracycline 250-500mg qid 5-7 days
- Complications
- Pharyngitis
- Sinusitis
- Otitis media
- Lymphadenitis
- Tonsillitis
- Lower respiratory complications
- Bacteriology
- Streptococcus
- Pneumocccus
- Haemophilus influenzae
- Staphylococcus
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