Term
Strep Throat
DOC in adults ?
DOC in children? Why not same as adults?
Alternatives? |
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Definition
Strep Throat
DOC in adults - Penicillin
DOC in children - Amoxicillin b/c Penn V suspension tastes bad
Alternatives - Cephalosporins, Clindamycin, Oral macrolides. |
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Term
Strep throat in pregnancy
DOC?
If allergy to DOC? |
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Definition
Strep throat in pregnancy
DOC - Penicillin
If allergy to DOC - Azithromycin or clindamycin |
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Term
| Pain/Fever in acute bronchitis, sinusitis or strep throat? |
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Definition
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Term
Relief of congestion associated to sinusitis?
Who should not use pseudoephedrine? |
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Definition
Decongestants eg pseudoephedrine
Children should use other decongestants |
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Term
DOC in acute sinusitis ?
Failure in DOC what is recommended?
Treatment length ? In Chronic sinusitis? |
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Definition
DOC in acute sinusitis - AMOXICILLIN
Failure in DOC what is recommended - AMOX/CLAV
Treatment for 7-14 days, if Chronic, at least 21 days. |
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Term
| Sinusitis - Decongestants in pregnancy? |
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Definition
| Prefer Topical over oral decongestants to lessen exposure to fetus |
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Term
Abx in sinusitis & pregnancy?
Which should NOT be used in pregnancy, why? |
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Definition
Abx in sinusitis & pregnancy
DOC: Amoxicillin
2nd line: Amox/Clav, cefuroxime, SMX/TMP azithro if macrolide indicated
do NOT use:
SMX/TMP - 1st trimester teratogenic
Sulfides - neonatal hyperbilirubinemia.
FQs
Doxycycline - tooth discoloration in fetus |
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Term
| Sinusitis in breast feeding women. Which decongestants ok to use? which to avoid? |
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Definition
Use oxymetolazine, xylometolazine, or phenylephrine, or intranasal corticosteroids.
Do NOT use pseudoephedrine as it causes reduced lactation. |
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Term
Antitissives to use in acute bronchitis?
Children under 12 ? |
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Definition
codeine, dextromethorphan, hydrocodone
Do not use antitussives in children under 12 because of lack of efficacy |
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Term
Bronochodilators in acute bronchitis?
Adults vs. children? |
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Definition
| Use salbutamol or terbutaline in adults and not children. |
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