drugs and bugs EENT Flashcards
Main eye bugs
adults
G/C
S. aureus
S.pneumo
main eye bugs for kids
S. pneumo
H influenza
Main eye viruses
HSV, Adenovirus Enterovirus Coxsackie VSV Epstein-Barr influenza
Main Otitis Media Bugs 3mth olds
E. coli
S. aureus
Main otitis media bugs for 3mth-14 yrs
S. Pneumococcal (S. pneumo conjugate vaccine reduced this)
H. influenza
M. Catarrhalis
Main otitis media for adults
S. pneumo
H influenza
S. pyogenies/GAS
S. aureus
Main Otitis Externa bug
Pseudomonas
Main Nose bug
S. pneumo H influenza M Catarrhalis Saureus anaerobes Streptococc. sp.
Main throat bugs
S. pyogenies (GAS) S. pneumococcus M. catarrhalis Strep C Nisseria Diptheria Mycoplasm H. influenza
Common Cold
Paraflu Enterovirus Coronavirus RSV Rhinovirus
Main pharyngeal viruses
Rhinovirus Influenza Virus Parainfluenza Coxsackie virus Adenovirus
Steroids used for eyes
ha ha don't do it, refer to ENT, they might if no HSV .... hypertensive retinopathy diabetic retinopathy TED, Graves
steroids for nose/ mouth/ throat
chronic sinusitis allergic rhinitis nasal polyps Aphthous ulcer Oral Lichen Planus Croup
steroids for ear
Chronic OM, refer to ENT Miniere Viral Labrinthitis Vestibular Neuronitis Mild Otitis Externa
name 3 Antihistamines and use
Loradatine PO: Allergic rhinitis
Naphcon-A and Ocuhist topical: Viral Conjunctuvitis
Fluticanosone
=Flonase inhalation= chronic sinusitis allergic rhinitis nasal polyps (epistaxis) chronic OM (consider flut. refer to ENT)
Prednisone
PO chronic sinusitis 2nd choice meniere's Viral Labrinthititis Vestibular Neruonitis Croup (secure air, epitaph, then prednisone) TED/Graves Opthalmopathy (methyl)
Flucononine
topical Aphthous ulcer (lidocaine)
drug for oral lichen planus
Clobetasol proprionate
drug for mild otitis externa
acetic acid with hydrocortisone
2-3 antifungals
nystatin (candida)
Fluconozole PO otitis externa fungal, repeated oral candidiasis (also Clotrimazole lozenge
3 IV antibiotics for serious infections (except if PCN allergy)
Vancomycin + Ceftriaxone (orbital cellulitis and epiglottis, mastoiditis: only Ceftriaxone)
Fluroquinolone (Malignant Otitis Externa)
3 IV Abx for serious infections with PCN allergy
Vancomycin + Ciprofloxacin (orbital cellulitis) (malignant otitis externa - cipro only)
Van of mice sipping a fox with eyes bulging and ear slammed outside the door
Levofloxacin Clindamycin
(epiglottis)
