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The Curbsiders Internal Medicine Podcast

#457 Cold and Flu Season: Upper Respiratory Infections aka URIs

Oct 14, 2024
Dr. Amber Bird, an academic general internist at Penn and residency program director, dives into the nitty-gritty of upper respiratory infections. She emphasizes the importance of accurate diagnosis and symptom relief while steering clear of unnecessary antibiotics. The discussion includes effective home remedies and the role of vaccinations in preventing complications. Learn about antivirals for influenza and the significance of educating patients on managing their symptoms. A mix of humor and valuable insights makes this a must-listen for anyone navigating cold and flu season!
01:06:25

Episode guests

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Quick takeaways

  • Understanding that upper respiratory infections are viral and typically self-limiting can prevent unnecessary antibiotic prescriptions.
  • Effective management of cold symptoms often involves conservative approaches, emphasizing patient education on over-the-counter treatments and home remedies.

Deep dives

Understanding Upper Respiratory Infections

Upper respiratory infections, commonly known as the cold, are usually caused by viral agents such as rhinovirus or coronaviruses. These infections are generally self-limiting, meaning they resolve on their own without the need for antibiotics, which are ineffective against viruses. During clinical assessments, the hallmark symptoms of a viral upper respiratory infection include nasal congestion, cough, and sore throat, and it is significant to recognize that the course of symptoms typically lasts about five to seven days. Attention should also be paid to differentiating between benign cold symptoms and more severe infections, such as influenza or COVID-19, which may present atypically.

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