Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
|
31. Presentation of viral neck infections?
|
a. May present similarly to bacterial infection.
b. Can present w/oropharyngeal exudate and swelling or neck masses in the form of lymphadenopathy. c. A viral process usually can be differentiated from a more concerning bacterial process by ancillary testing previously described and taking into consideration symptomatology more frequently seen in viremia. d. For example, an exudative pharyngitis w/neck findings, rhinorrhea, and cough is more consistent w/viral infection. |
|
|
32. Standard therapies for neck infections?
|
a. IV PCN
b. 3rd-gen Cephs c. Carbapenems. d. Clindamycin or metronidazole is added if anaerobes are suspect and broad coverage is desired. |
|
|
33. Which drug is often a good choice for monotherapy in the pt w/pcn allergy?
|
a. Clindamycin.
|
|
|
34. Tx of pt w/neck abscess?
|
a. Broad-spectrum abx are started in the pt w/neck abscess, w/treatment modification if an organism is identified from oropharyngeal or surgical samples.
b. May also need surgical aspiration or incision and drainage. |
|
|
35. Other abnormalities, unrelated to deep neck infection, which can also cause sore throat, odynophagia, or swelling & pain of the oropharynx?
|
a. Anatomic variants such as thyroglossal duct cyst or second branchial cleft cyst.
b. Arising from vestigial structures, these cysts can become secondarily infected and develop overlying tenderness and erythema that might be confused w/deeper infection. c. Thyroiditis and sialadenitis also present w/fairly localized neck findings. |
|
|
36. Aetiologies to consider particularly in the case of an initially nontender mass that grows slowly?
|
a. Thyroid nodule
b. Goiter c. Salivary gland tumour |
|
|
37. Presentation of thyroglossal duct cysts?
|
a. Typically midline, often move w/tongue protrusion, and often are noted after a URI.
|
|
|
38. Tx of thyroglossal duct cyst?
|
a. Surgical excision, sometimes after neck CT imaging to ascertain cyst and thyroid anatomy.
b. About half can become infected. |
|
|
40. Pharyngitis w/Coxsackievirus vs. strep?
|
a. Coxsackievirus is usually an ulcerative, rather than exudative pharyngitis.
|
|
|
41. Complete
|
41. Complete
|
