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40 Cards in this Set
- Front
- Back
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O
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onset (chronology)
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p
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precipitation
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q
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quality
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r
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radiation
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s
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severity
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t
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temporal
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a
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associated symptoms
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Characteristics of rhinorrhea
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Discharge from the nose - character
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Characteristics of rhinorrhea
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Congestion
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Characteristics of rhinorrhea
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Itching
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Characteristics of rhinorrhea
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May have throat discomfort but not worst sx
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Characteristics of sore throat
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Pain
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clinical clues of allergic rhinitis- eyes
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conjunctiva watery/red
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clinical clues of allergic rhinitis- ears
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ears- tympanic membranes clear
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clinical clues of allergic rhinitis- nose
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nose- red swollen nasal passages (turbinates)
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clinical clues of allergic rhinitis- throat
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throat- no exudate
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clinical clues of allergic rhinitis- neck
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neck- may have posterior adenopathy but not anterior cervical nodes
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Viral causes of runny nose - less than 2 weeks
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rhinovirus, coxsackie virus, infleunza, parainfluenza
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How many colds does the average adult have per year?
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2-3
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Causes of runny nose greater than 2 weeks
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allergic rhinitis, vasomotor rhinitis, sinusitis, drug rhinitis, foreign body
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What are the clinical clues of allergic rhinitis
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seasonal, itching of eyes, palate and nose, watery eyes, sneezing
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What are the physical findings of allergic rhinitis
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allergic salute, allergic shiners, swollen nose but not red
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What is vasomotor rhinitis
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Nonallergic rhinitis. Triggered by strong smells- food and perfume, or cold weather
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Sinusitis
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Rhinorrhea greater than 2 weeks
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Symptoms of sinusitis
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facial pain, fever, tenderness over frontal sinuses, transillumination of sinuses-fluid, secondary bacterial infection-had a cold but started feeling sicker
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What are the physical findings of strep
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exudative tonsilitis, tender cervical adenopathy
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Should a cough, diarrhea, or rhinorrhea be present?
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No
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History indicative of strep
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fever, absense of cough
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Centor criteria for strep
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Fever, absence of cough, exudative tonsilitis, tender cervical adenopathy, age less than 15. ALL ADD ONE POINT
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Negative Centor predictor
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Age greater than 45 DECREASE 1 POINT
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Centor score of 4+
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Treat
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Centor score of 3
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RSAT
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Centor score of 2
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RSAT
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Centor score of 1
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RSAT or don't treat
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Centor score of 0
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Don't treat
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if 3 of 4 are absent, what is the negative predictive value?
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80%
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What are some red flags of throat problems?
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drooling-unable to swollow, trismus-unable to open mouth, muffled voice, respiratpry distress
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What is Ludwig's angina?
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submandibular infection- causes swelling of neck
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What percent of pharyngitis is caused by a virus?
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40%- rhinovirus most common
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Sore throat greater than 2 weeks options
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GERD, Foreign Body, Neoplasm
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