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Disorders of the pharynx
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28
Health Care
Graduate
08/31/2009

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Term
3 general etiologies of pharyngitis:
Definition
viral, bacterial, fungal
Term
which 2 viruses cause Mono?
Definition
Epstein-Barr & Cytomegalovirus
Term
according to the CDC what % of pharyngitis is Strep?
Definition
15%
Term
which fungal genus is mainly responsible for pharyngitis?
Definition
Candida
Term
explain chronic pharyngitis:
Definition
usually nonifectious; irritation from post nasal drainage, chemical irritation or smoking
Term
3 risk factors:
Definition
Age(young are more susceptable), family history, smoking
Term
4 presentations of viral pharyngitis that are rare in bacterial:
Definition
1. GRADUAL onset of fever
2. Rhinorrhea
3. Hoarsness
4. Cough
Term
4 main indicators for Group A strep:
Definition
1. Fever
2. tender anterior cervical adenopathy
3. absence of cough
4. tonsillar exudate
Term
2 additional indicators of group A strep that are more specific to kids:
Definition
abdominal pain, vomiting
Term
what are the sensativities/specificities of the rapid strep test?
Definition
sens: 62-95%
spec: 88-100%
Term
what is the gold standard method for diagnosis of GAS?
Definition
culture
Term
name the 6 clinical predictors for GAS diagnosis:
Definition
1. age (5-15)
2. season (late fall - early spring)
3. evidence on physical exam (red,swel)
4. tender, large anterior cervical lymph nodes
5. mid grade fever (101-103)
6. absence of viral URI infection
Term
what score on the clinical predictors survey would get an 85% likelihood?
Definition
6
Term
what is the drug of choice for GAS?
Definition
penecillin V
Term
5 symptomatic treatments for GAS:
Definition
1. acetomenophen
2. gargle salt water
3. anesthetic gargles
4. lozenges
5. maintain hydration
Term
5 nonsuppurative complications of GAS:
Definition
1.Rheumatic fever
2.Glomerulonephritis
3.scarlet fever
4.TSS
5.PANDAS
Term
6 suppurative complications of GAS:
Definition
1. cellulitis or abcess
2. otitis media
3. sinusitis
4. necrotizing fascitis
5. streptococcal bacteremia
6. menengitis
Term
how long after pharyngitis does rheumatic fever appear?
Definition
2-3weeks
Term
are antibiotics preventative for rheumatic fever?
Definition
yes
Term
are antibiotics preventable for poststreptococcal glomerulonephritis?
Definition
no
Term
5 manifestations of acute rheumatic fever:
Definition
1. carditis
2. chorea (involentary movement disorder)
3. arthritis
4. subcutaneous nodules
5. erythema marginatum rash
Term
which population is at higher risk for poststrep glomerulonephritis?
Definition
<7yrs
Term
presentation for Poststrep Glomerulonephritis:
Definition
asymptomatic microscopic hematuria, proteinuria, edema, HTN
Term
discribe scarlet fever:
Definition
pharyngitis with a sandpaper rash,
Term
most common deep infection of the head and neck:
Definition
peritonsilar abcess
Term
for patients with peritonsilar abscess who had pharyngitis beforehand the rate of recurrance is:
Definition
40%
Term
3 treatments for peritonsilar abcess:
Definition
1. needle aspiration, inscision and drainage or tonsilectomy
2. antibiotics
3. pain control
Term
7 possible complications for peritonsilar abscess:
Definition
1. airway obstruction
2. aspiration pneumonia
3. sepsis
4. carotid artery rupture
5. internal jugular thrombosis
6. necrotizing fasciitis
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