Acute Tonsilitis (Adenotonsilitis) Flashcards
1
Q
causes
A
EBV rhinovirus influenza parainfluenza enterovirus adenovirus
2
Q
what percentage of these are bacterial?
A
5-30%
3
Q
what is the most common bacterial cause
A
strep pyogenes (GABHS)
4
Q
complications of strep pyogenes
A
rheumatic fever
kidney issues
5
Q
presentation of viral
A
malaise sore throat temperature able to undertake normal activity possible lymphadenopathy lasts 3-4 days
6
Q
presentation of bacterial
A
systemic upset fever odynophagia halitosis unable to work lymphadenopathy lasts a week
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
8
Q
what number must be reached on the criteria to be given antibiotics?
A
4 or 5
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)
