43 - oral lesions, 44 sore throat Flashcards
What might cause angular stromitis and glossitis?
Fe deficient anaemia /scurvy
leukaemia oral manifestation?
gingival hypertrophy
oral manifestation in AIDS
candidia and hairy leukoplakia
who is more likely to get oral candida
diabetic
immunocompromised
mx of oral candida
Nystatin and clotrimazole.
Scoring to test if sore throat bacterial
centor
mx of sore throat
Ibuprofen for pain. Check for strep throat with Centor
Reassure, safety net and self-care.
Usual bacteria for bactirial tonsilitis
Group A strep
abx for strep
amaoxicilin
Centor criteria
No cough +1
Tender lymph nodes +1
Exudate +1
Fever +1
Age above 44 -1
Age below 15 +1
Less than zero = low risk strep. 2-3 culture, 4-5 amox.
What is a quinsy? mx?
Peritonsilar abscess.
Complication of tonsillitis.
Collection of pus in peritonsilar space.
Don’t let the sun go down on undrained pus – ENT emergency
Needs surgery.
CAN BE FATAL
Glandular fever covered in other deck - but what complications exist?
hepatomegaly or splenomegaly
lymphoma
chronic fatigue
virus for oral cancer
HPV
croup cause? mx? classic cough?
Parainfluenza virus, rarely bacteria.
Oral dexamethasone. Nebbed adrenaline if not.
Check oxygen sats.
Disease is usually self-limiting.
barking
Microbe causing epiglotitis? What to give contacts if suspect?
haemophilus influenza B
rifampicin
