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15 Cards in this Set
- Front
- Back
Duration of - cold - otitis media - sore throat |
cold - 1-2wks otitis media - 2-3 days- 1wk sore throat - 1wk |
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Centor criteria |
1. fever 2. enlarged cervical lymph nodes 3. no cough 4. tonsillar exudate |
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Sore throat ABx (2) |
1. 10 days of Phenoxymethylpenicillin (Pen V) 250mg QDS 2. 5 days Erythromycin 250mg QDS |
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Acute otitis media ABx (2) |
1. 3 days Amoxicillin 500mg TDS 2. 3 days Erythromyicin 250mg QDS |
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When to consider Abx in otitis media (4) |
1. <2yrs with bilateral otitis media 2. systemically very unwell 3. high risk of complications 4. symptoms have lasted for 4 days and not improving |
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Otitis media complications (3) |
1. meningitis 2. cerebral abscess 3. mastoiditis |
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Acute sore throat complications (4) |
1. Peritonsillar abscess (Quinsy) - trismus, difficulty swallowing, unilateral peritonsillar swelling 2. Acute glomerulonephritis 3. Acute rheumatic fever 4. Scarlet fever - diffuse rash all over body excluding mouth and nose |
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Tonsillectomy indication |
3+ in 3 yrs 5+ in 2 yrs 7+ in 1 yr |
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Common cold complications (3) |
1. acute bronchitis 2. sinusitis 3. otitis media |
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Red flags in cold (3) |
1. Upper respiratory distress eg. stridor, difficulty swallowing, drooling 2. lower respiratory distress eg. laboured breathing 3. severe headache (?meningitis!) |
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Recurrent otitis media infections what to advise (5) |
1. reduce passive smoking 2. avoid dummmies 3. avoid supine feeding 4. catch up on missed immunisations 5. reassure - frequency reduces with age (cease after 7-8 yrs) |
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how long does the deafness take to resolve from otitis media |
up to 2-3 wks |
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sore throat red flags (3) |
1. stridor 2. respiratory difficulty 3. signs of quinsy - trismus - difficulty swallowing |
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When to consider EBV as a ddx in sore throat (6)
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1. sx > 1wk 2. tieredness 3. enlarged cervical lymph nodes 4. palatal peteachia 5. enlarged spleen 6. rash - 10-20% |
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Simple measures for sore throat tx (2) |
1. avoid hot drinks 2. simple mouthwashes |