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18 Cards in this Set

  • Front
  • Back

What is Pharynotonsillitis ?

An acute infection of the throat (oropharynx +/- tonsils)

"In Pharyngitis, Tonsils are enlarged and hidden behind the anterior faucial pilar" True or False?

TRUE

What is the Etiology of Pharyngitis?

80% are Viral, 20% are Bacterial

What are the risk factors of Group A Strep Pharyngitis?

1) Children between 5-15 years old


2) Occurs in Temperate climate during winters and early spring


3) Person to Person transmission (Need droplet contact, coughing or sneezing)

What are the signs of Viral Pharyngitis?

1) Hoarsness


2) Rhinits


3) Cough


4) Gradual onset of throat symptoms


5) Discrete mouth ulcers


6) Conjunctivitis 7) Coryza (nasal congestion)

What are the signs of Bacterial Pharyngitis (Group A)?

1) Fever over 38


2) Headaches


3) Absence of Cough


4) Sudden onset of throat sore


5) Nausea/Vomitting and abdominal pain


6) Tonsiller exudates


7) Swollen, tender anterior cervical lymph node 8) Scarlatin from Rash


9) Winter/Early Spring presentation


10) Age 5-15 yrs

"Negative RADT tests needs to be backed up by a throat culture and sensitivity tests in Children and Adolescents" True or False?
TRUE
Typically how long does a Fever last with Pharyngitis?
3-5 days
Typically how long before all the symptoms resolve for Pharyngitis?

7-10 days

Within _____ tonsil and lymph nodes decrease in size bact to normal?
6 weeks
What are the complications of Pharyngitis?

1) Peritonsillor Cellulitis (Quinsy)


2) Cervical Lymphadenitis


3) Otitis Media


4) Sinusitis


5) Glomerulonephritis


6) Rhematic Fever

What are the treatment goals of Group A Strep Pharyngitis?

1) Prevent Rheumatic Fever


2) Prevent other supportive complications 3)Shortens duration of symptoms


4) Reduce transmission


5) Minimize potential ADR due to antibiotics

When would you give immediate antibiotic treatment for Pharyngitis?

1) Patient is very ill


2) Delayed culture results >72 hrs


3) If its diffiuclt to follow up with patient

"Patients with Epstein Barr Virus infection who are treated with Amoxcillin will develop a rash" True or False?

TRUE
"There is no correlation between NSAID use and Bad Cellulits/Gangrene" True or False?
FALSE
Which antibiotics are not acceptable for Strep Throat?

Sulfonamides, Trimethoprim, Tetracyclines, Chloramphenicol, Ciprofloxacin, Levofloxacin, Moxifloxacin

When do we treat Chronic Carriers of Group A strep?

1) Acute Rhematoid Fever, Glomerulonephritis, invasive CNS infections


2) Outbreak of Group A strep pharyngitis in closed community


3) Presence of family or personal history of acute rheumatoid fever


4) Family with excessive anxiety about GAS infections


5)When tonsillectomy being considered

"Continous Prophylaxis is recommended to avoid recurrence of Rhematic Fever" True or False?

FALSE, only for well documented histories of Rheumatic fever