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12 Cards in this Set
- Front
- Back
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What are the most common causes of pharyngitis and how can you differentiate those between the less common causes?
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Viruses are over bacteria; most common viruses are adeno and rhino; usually aough occurs with viral
Chlamydia, Mycoplasma, EBV |
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What are some causes of tonsillitis?
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adenovirus> Coxsackie, HSV, EBV
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What is the peak time occurence for Group A Beta hemolytic Streptococci tonsillopharyngitis and what age is it most common in?
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Winter and early spring; rare in kids less than 1 year, peak in 3-10 years
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Why is mono pharyngitis commonly mistaken with mono pharyngitis? What are others that are mistaken as well?
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because they're presenting symptoms of fever and exudative tonsillitis and/or pharyngitis, and palatal petechiae; adeno, EBV, coxsackie
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What are the most common presenting symptoms of mono pharyngitis?
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fever and lymphadenopathy; other accompanying symptoms include malaise, HSM, cervical lymphyadenopathy
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When should you suspect mono pharyngitis?
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When pharyngitis is present for longer than 10-14 days, or when abx have not caused convalescence in 48H
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How do you treat EBV ifxn?
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rest, hydration, analgesia for throat, and notify families fatigue maybe present for months; restrict excercise and contact sports for 1 month or until HSM resolves; usually symptoms will resolve in 1 month or so
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What is a morbilliform drug reaction noted in pts with mono?
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maculopapular rash 5-9 days after given amoxicillin or ampicillin; does not indicate PCN allergy
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What is the definition of infectious mononucleosis?
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triad of fever, LN and pharyngitis; MC cause is EBV
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What are the most common microbes in peri-tonsillar abscess?
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strep pyogenes, staph, anaerobes
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What are presenting symptoms of a peritonsillar abscess?
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severe unilateral sore throat, fever, "hot potato" muffled voice, drooling, saliva pooling, "trismus"
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What does trismus separate peritonsillar abscess from? What is trismus?
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- severe pharyngitis or tonsillitis; reflex spasm and irritation of the internal pterygoid muscle
- neck swelling, pain, ipsilateral ear pain, decrease PO intake, fatigue, irritability |
