CAD-1 Sore Throat

Question 1

Covid Qs

Answer 1

ask about sick contact

test

Question 2

Fever, malaise, chills, sweats

Severe SORE THROAT, fever, and Swollen lymph nodes

Answer 2

Mono (Ebstein Barr Virus- EBV)

Question 3

PE shows Enlarged tonsils, Pharyngeal erythema and exudate, palatal petechiae, and tender POSTERIOR neck lymph nodes

Answer 3

Mono (EBV)

Question 4

Large superficial shallow ulcers

Answer 4

CMV

Question 5

What is CMV-Cytomegalovirus

Answer 5

Human Herpes Virus-5

mostly seen in immunocomp

Question 6

CMV Primary infection

Answer 6

similar to Mono (fever, cough, myalgia, fatigue, arthralgia)

BUT no sore throat or swollen lymph nodes

Question 7

Reactivation of CMV

Answer 7

Colitis- diarrhea, fever, abd pain

Retinitis- if CD4 <50, decreased vision and floaters

Esophagitis- LARGE SUPERFICIAL ULCERS on upper endoscopy

Pneumonitis

Neuro- brain swelling, Guillain Barre

Question 8

What type of ulcers will you see w CMV?

Answer 8

Large superficial shallow ulcers in throat- or further down in esophagus

Question 9

HSV1 causing Acute Herpetic Pharnygotonsillitis

Answer 9

Vesicles rupture

Ulcer lesions w grayish exudate remain

Question 10

GAS

Answer 10

swollen ANTERIOR neck lymphnodes

No cough, Fever, often <15 yo

Question 11

PTA- MUST NOT MISS

Answer 11

Severe unilateral sore throat
“hot potato” voice
Malaise, bad breath, drooling, ear pain

Question 12

PE of Peritonsilar Abscess

Answer 12

Deviated uvula

Tender anterior lymph nodes

Question 13

Neck pain
Fever

Evaluate w CT

Answer 13

Retropharyngeal abscess

this abscess is more medial

hx of eating chicken leg
or much younger patient

Question 14

Drooling, Dysphagia, Distress

Answer 14

Epiglotittites

Tx: Rocephin

Question 15

Cobblestone in Posterior throat

Answer 15

Postnasal drip

Question 16

HEENT stuff to ask about when evaluating Sore Throat

Answer 16

HA
Vision change
Ear pain, hearing
Congestion, PND, sinus pain
Dysphagia, odynophagia, hoarse, dental problem

Question 17

Cardiac

Answer 17

CP
Palpitations “heart racing”
Edema
Hypertension

Question 18

Endocrine

Answer 18

Hot/cold sensitive
Tremor
Skin/air change

Question 19

Abdomen PE- make sure to

Answer 19

check for SPLENOMEGALY and Epigastric region (GERD)

Question 20

Labs to consider ordering

Answer 20

Covid
GAS rapid strep
CBC, CMP
Monospot

Question 21

Tx of GAS

Answer 21

PCN

if allergy: Z pack, Clindamycin

Question 22

Tx of PTA (Peritonsillar Abscess)

Answer 22

Clindamycin