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15 Cards in this Set

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  • Back

Duration of


- cold


- otitis media


- sore throat

cold - 1-2wks




otitis media - 2-3 days- 1wk




sore throat - 1wk

Centor criteria

1. fever




2. enlarged cervical lymph nodes




3. no cough




4. tonsillar exudate

Sore throat ABx (2)

1. 10 days of Phenoxymethylpenicillin (Pen V) 250mg QDS




2. 5 days Erythromycin 250mg QDS

Acute otitis media ABx (2)

1. 3 days Amoxicillin 500mg TDS




2. 3 days Erythromyicin 250mg QDS

When to consider Abx in otitis media (4)

1. <2yrs with bilateral otitis media




2. systemically very unwell




3. high risk of complications




4. symptoms have lasted for 4 days and not improving

Otitis media complications (3)

1. meningitis




2. cerebral abscess




3. mastoiditis

Acute sore throat complications (4)

1. Peritonsillar abscess (Quinsy) - trismus, difficulty swallowing, unilateral peritonsillar swelling




2. Acute glomerulonephritis




3. Acute rheumatic fever




4. Scarlet fever - diffuse rash all over body excluding mouth and nose

Tonsillectomy indication

3+ in 3 yrs




5+ in 2 yrs




7+ in 1 yr

Common cold complications (3)

1. acute bronchitis




2. sinusitis




3. otitis media

Red flags in cold (3)

1. Upper respiratory distress eg. stridor, difficulty swallowing, drooling




2. lower respiratory distress eg. laboured breathing




3. severe headache (?meningitis!)

Recurrent otitis media infections what to advise (5)

1. reduce passive smoking




2. avoid dummmies




3. avoid supine feeding




4. catch up on missed immunisations




5. reassure - frequency reduces with age (cease after 7-8 yrs)

how long does the deafness take to resolve from otitis media

up to 2-3 wks

sore throat red flags (3)

1. stridor




2. respiratory difficulty




3. signs of quinsy


- trismus


- difficulty swallowing

When to consider EBV as a ddx in sore throat (6)

1. sx > 1wk




2. tieredness




3. enlarged cervical lymph nodes




4. palatal peteachia




5. enlarged spleen




6. rash - 10-20%

Simple measures for sore throat tx (2)

1. avoid hot drinks




2. simple mouthwashes