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Block 5 > Clinical- Group A Strep > Flashcards

Clinical- Group A Strep Flashcards

1
Q

cause of pharyngitis in school age kids

A

group A strep

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2
Q

cause of pharyngitis in preschool kids

A

staph aureus

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3
Q

complications of untreated strep

A 
otitis media
sinusitis
abscesses
RF
glomerulonephritis
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4
Q

scarlett fever

A

group A strep + sandpaper rash

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5
Q

strep is spread

A

contact with infected persons

NOT fomites or animals

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6
Q

who does not get RF

A

young kids- lack immune response to it

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7
Q

incubation period for strep

A

2-5 days

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8
Q

can carriers spread it?

A

unknown- probably

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9
Q

1+ tonsils

A

sorta showing

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10
Q

2+ tonsils

A

showing

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11
Q

3+ tonsils

A

showing a lot, not touching

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12
Q

4+ tonsils

A

touching

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13
Q

DDx for fever, abdominal pain, and vomitting in child

A

gastroenteritis
pneumonia
GAS

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14
Q

signs and symptoms of GAS pharyngitis

A 
fever, abdominal pain, vomitting
red, enlarged tonsils
palatal petichiae
exudative tonsils
lack of cough, coryzea, congestion, URI symptoms, diarrhea
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15
Q

confirmatory cultures

A

rapid antigen swab

culture

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16
Q

symptoms GAS

A

fever, abdominal pain, vomitting
red, enlarged tonsils
palatal petichiae
exudative tonsils

17
Q

GAS treatment

A

penicillin or macrolides

18
Q

main reason to great GAS

A

prevent rheumatic fever

19
Q

severe invasive strep syndrome

A

fever, erythroderma, multiple organ damage, positive blood cultures

20
Q

scarlet fever symptoms

A 
fever
enlarged, red tonsils
strawberry tongue
circumoral pallor
blanching sandpaper rash
pastia lines
21
Q

cause of scarlet fever

A

erythrogenic toxin release

22
Q

impetigo

A

benign highly contagious skin infection

23
Q

ARF symptoms

A 
heart murmur
hepatomegaly
blanching red rash
elevated ESR, CRP
prlonged PR interval
culture + GAS
24
Q

when can ARF happen

A

10-42 days post GAS infection

25
Q

post strep glomerulonephritis

A

glomerular vessel inflammmation- decreases kidney filtering

26
Q

JONES criteria

A 
joint pain
heart issues
nodules
erythma marginatum rash
syndenham's chorea
27
Q

primary prophylaxis

A

pen to prevent ARF

28
Q

secondary prophylaxis

A

life long antibiotics to prevent recurrence or rheumatic heart disease or worsening

Block 5 (27 decks)

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