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Case 21
fam med cases
6
Medical
Graduate
01/26/2011

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Cards

Term
Most common complications in influenza
Definition
Otitis Media
Strep Pneumonia
Term
Lungs sounds that do not indicate consolidation...
Definition
Wheezes (bronchospasm)
Rhonchi (low pitch, snoring sounds assoc w large mucous secretions, cleared w coughing)
Term
Prodromal sypmptoms (headache, GI, arthralgias) are _______ in typical pneumona
Definition
absent. Present in atypical, viral
Term
Indications for Group A Strep pharyngitis (strep throat)
Definition
fever >38 +1
cough absent +1
cervical lymphadenopathy +1
tonsillar exudates +1
Age<15 +1
Age >45 -1

total=2, rapid strep
total=4 order culture, empiric rx
Term
Rx in Pneumonia
Definition
age > 5 years, Rx w azithromycin (macrolide) bc atypical pneumonia is most common.

children<5 years, use amoxicillin bc strep pneumo is more common
Term
When to admit patients w pneumonia
Definition
infants<3weeks: always
3wks-3months: if febrile
3months-5years: tachypnea, SOB, grunting
>5 years: tachypnea, SOB
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