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5 Cards in this Set
- Front
- Back
Ddx:
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MPEGS: Mono, PTA, Epiglottitis, GC, Scarlet fever
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McIsaac's scoring system
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Absent cough
Swollen, tender nodes T>100 tonsillar exudates or swelling Age<15 (subtract a point if age>45 years) |
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Abx
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PCN or Z-pak
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Adjunctive tx
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for severe pain and swelling, use Prednisone 60 mg po or Decadron 10 mg IM
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Abx decision
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1 point = <10% likelihood Strep - supportive treatment only
2-3 = 11-35%, check Rapid Strep 4-5 = 52%, treat empirically |