Acute Tonsilitis (Adenotonsilitis) Flashcards

1
Q

causes

A
EBV
rhinovirus
influenza
parainfluenza
enterovirus
adenovirus
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2
Q

what percentage of these are bacterial?

A

5-30%

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3
Q

what is the most common bacterial cause

A

strep pyogenes (GABHS)

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4
Q

complications of strep pyogenes

A

rheumatic fever

kidney issues

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5
Q

presentation of viral

A
malaise
sore throat
temperature
able to undertake normal activity
possible lymphadenopathy
lasts 3-4 days
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6
Q

presentation of bacterial

A
systemic upset
fever
odynophagia
halitosis
unable to work
lymphadenopathy 
lasts a week
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7
Q

what criteria is used to differentiate between viral and bacterial?

A

FeverPAIN
CENTOR
under 15 add 1 point and over 44 subtract 1 point

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8
Q

what number must be reached on the criteria to be given antibiotics?

A

4 or 5

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9
Q

management

A

supportive= eat, drink, rest, analgesia
antibiotics= penicillin 10 days (clarithromycin if allergic)
surgery (strict criteria e.g. 7 cases in one year)

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