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;
30 Cards in this Set
- Front
- Back
|
What is MC organism for peritonsillar abscess?
|
Group A strep
|
|
|
How does peritonsillar abscess present? Treat?
|
unilateral anterior tonsillar bulge w/tonsillar pillar prominent
-UVULA angled towards unaffected side Tx; drain!! can also give pen or clinda |
|
|
What are organisms for strep throat? how does it present?
|
group A strep of strep pyogenes
SS: sore throat, abdo pain, HA, fever -strawberry tongue, petechiae, exudative tonsils -vomiting, muscle aches |
|
|
What are the complications of strep throat?
|
-scarlet fever
-impetigo -post-strep glomerulonephritis -rheumatic fever |
|
|
Treatment for Strep throat?
|
Penicillin
|
|
|
MONO: cause? SS? how to test?
|
Cause: epstein barr virus (EBV) spread through droplets
SS: exudative pharyngitis, ant/post cervical LN enlarge, inc risk spleen/liver enlarge, fatigue Test: monospot, Ab titier anti EBV IgM/IgG, PCR |
|
|
Why do you have to avoid contact sports if you have mono?
|
if the spleen is enlarged, then there is increased risk for a splenic rupture
|
|
|
What is Herpes simplex? SS? Dx?
|
gums are fire engine red usu 7-10 days (gingivostomatitis) for 1st exposure
Dx: Tzank smear: multinucleated giant cells |
|
|
What does hand foot mouth disease look like? cause? what is treatment?
|
fluid filled blisters on hands & feet & back of throat
-Coxsackie virus -symptomatic treatment |
|
|
What are apthos ulcers?
|
AKA canker sores
-painful white-yellow ulcer w/red halo |
|
|
Oral candidiasis (thrush): presents as? treatment?
|
white patches on oral mucosa-can wipe off but leaves red spot
-look for diaper rash too Tx; nystsatin (antifungal) |
|
|
What is an indication for subjective tonsillectomy? (PFAPA)
|
Periodic fevers with apthous stomatitis, pharyngitis, and adenitis
|
|
|
What will you see if someone has keratoconjunctivitis?
|
it is from herpes zoster so you will see a dendritic corneal ulcer w/stain
|
|
|
What is hutchinson's sign?
|
Herpetic lesion on the tip of the nose that means that the eye has been infected
|
|
|
What is the hallmark sign for Retinoblastoma?
|
Leukocoria (instead of red reflex, you see a white one)
|
|
|
What are the types of neonatal conjunctivitis that you need to worry about?
|
Gonorrhea: can lead loss of vision
Chlamydia: may lead to pneumonitis |
|
|
What are SS of allergic conjunctivitis?
|
-itchy watery-mucous discharge
-cobblestoning mucosa of eye, pale mucosa -allergic shiners Tx: antihitamine |
|
|
How do you diagnose a corneal abrasion?
|
fluroscein stain
|
|
|
What do you do when a pt has hyphema?
|
test vision, refer to opthalmology
-keep head elevated to dec scarring & vision loss |
|
|
What is the best test to diag strabismus?
|
cover-uncover test
-if eye moves, then there is problem) |
|
|
What is best test for amblyopia?
|
it is decreased visual acuity so test for visual acuity
|
|
|
What is the typical presentation of allergic rhinitis?
|
itchy eyes, pale nasal mucosa, post-nasal drip, pharyngitis
-clear to yellow discharge, conjunctival injection, nose breathers -allergic salute & shiners |
|
|
What is the MC organism for sinusitis?
|
Strep pneumonia, H. influenza, M. catarrhalis (same as Otitis Media)
|
|
|
treatment options for otitis media?
|
1: amoxicillin
2: augmentin 3: rocephin shots (azithro is usually not in top 4) |
|
|
If child is older, is it okay to watch & wait to treat the ear infection?
|
Yes
|
|
|
When should a tympanostomy tube be used?
|
4 infections in 6 months
or 6 infection in a year -if an infection doesn't go away w/multiple courses of Abs -if there is OME |
|
|
What are the risks with otitis media w/effusion?
|
-hearing, speech, learning problems
|
|
|
What does swimmers ear look like?
|
otitis externa
-swollen, red, tender ear canal -pain w/manipulation of outer ear & w/exam - +/- drainage |
|
|
Mastoiditis: SS? risks? Tx?
|
SS: post-auricular pain, fever, red//swollen mastoid area
-tenderness to percussion Risk: spread to organs, meningitis, facial palsy Tx: hospitalize, give IV Abs |
|
|
Cholesteatoma: what do you see on exam?
|
thick greasy mass or pearly white debris w/ or w/o drainage
|
