Adult - URI, Nose, Throat Flashcards
What are the two differentiating symptoms of the common cold from other illnesses or allergies?
- watery rhinorrhea
- erythematous nasal mucosa
Generally, is fever associated with the common cold?
No
What is another name for the common cold?
viral rhinitis
What is a good indicator that a pharyngitis is viral in nature?
when it is accompanied by rhinorrhea
What are 3 indicators that a pharyngitis is bacterial in nature?
- anterior cervical adenopathy
- fever
- macropapular rash
Diagnostics to consider for pharyngitis?
- rapid strep
- monospot
- CBC
What is the hallmark onset of influenza?
abrupt onset of symptoms
What does a neuraminidase inhibitor do?
reduce duration of influenza by about 2 days
examples:
zanamivir (Relenza) - inahler
oseltamivir (Tamiflu) - oral
What is the causitive organism in mono?
Epstein-Barr virus
What is the incubation period for mono?
1 - 2 months
What are the recommendations for the influeza vaccine?
Every person
Every year
Starting at 6 months of age
What are the five defining characteristics of mono?
- extreme malaise
- severe pharyngitis
- white tonsillar exudates
- posterior cervical adenopathy
- splenomegaly sometimes
Diagnostic test for mono?
monospot
What does a CBC with differential reveal in mono?
increased WBC
with relative lymphocytosis and neutropenia
a “shift to the right”
Why might a steroid taper be used in mono?
if tonsils are severely enlarged
