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11 Cards in this Set
- Front
- Back
25-50% of children are diagnosed with _____ pharyngitis
|
Group A Strep (GAS)
|
|
____ accounts for 15-30% of pharyngitis
____ accounts for 40% of pharyngitis |
Group A Strep
Viruses |
|
In children less that 2 years most pharyngitis is (BACTERIAL/VIRAL)
|
viral
(althought GAS can occur) |
|
GAS pharyngitis
-usually self-limiting and lasts ___-___ days |
2-5 days
|
|
Characteristic Signs
- sudden onset of ___ ____ - pain on ______ - fever - headache - _______ pain - nausea and vomiting |
- sore throat
- swallowing - abdominal pain |
|
What are some uncharacteristic signs of pharyngitis?
|
-coryza (inflammation)
- hoarseness - cough - diarrhea |
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Characteristic Symptoms
- tonsillopharyngeal ____ - ___________ exudate - _______ petechiae - beefy red swollen _____ |
- erythema
- tonsillopharyngeal - soft pallate - uvula |
|
Why is strep difficult to diagnose?
- treatment is best ___ hours after symptom onset - children usually not infectious after ___ hrs of antibiotic therapy |
- present with non-specific symptoms
- 48 hours - 24 hours |
|
_______ detects presence of Group A strep antigens
|
- RADT
Rapid strep antigen detection test |
|
Top choices for antibiotic therapy:
1. 2. 3. |
1. Penicillin (Amoxicillin)
2. Cephalosporins (1st & 2nd gen) 3. Macrolides |
|
Adjunctive therapy
1. 2. 3. |
1. acetaminophen
2. ibuprofen 3. steroids |