E3 URTI Flashcards
4 things listed under acute bronchitis
- self-limiting
- symptomatic management
- corticosteroids not necessary
- antibiotic therapy not necessary (please) *
number needed to harm for antibiotic use in acute bronchitsi
5!!!!!
established diagnosis of chronic bronchitis
chronic cough with productive sputum on most days for >3 consecutive months for 2 consecutive years
3 hallmark signs of acute bronchitis exacerbation
- inc sputum purulence
- inc sputum volume
- inc cough or SOB
3 most common organisms for acute bronchitis
strep pneumo
h. influenzae
moraxella
2 common organisms for pts with frequent antibiotic use
- enterobacterales
- pseudomonas
3 preferred treatment options for acute exacerbation of chronic bronchitis
- augmentin
- cefuroxime
- cefpodoxime
3 alternate treatment options for acute exacerbation of chronic bronchitis
- doxy
- bactrim
- azithro
1 treatment option for acute exacerbation of chronic bronchitis WITH risk for pseudomonas
levofloxacin
2 most common pathogens for acute pharyngitis
- respiratory viruses
- strep pyogenes (group A)
5 things for clinical pres of acute pharyngitis
- sudden onset of sore throat with fever
- pharyngeal hyperemia and tonsillar swelling
- enlarged, tender lymph nodes
- red, swollen uvula
- petechiae on soft palate
2 main testing things for acute pharyngitis
- culture of the throat
- rapid antigen detection tests (RADT)
what should you do if the RADT test comes back negative for pharyngitis?
backup testing with culture or PCR-based test*
targeted treatment/organism and 2 drugs of choice for acute pharyngitis
target: strep pyogenes
drugs: penicillin VK, amoxicillin
what are the alternative options for acute pharyngitis if there is a pen allergy
- cephalexin
- cefadroxil
- cefuroxime
- cefpodoxime
2 treatment options for acute pharyngitis with an anaphylactic reaction to pen
azithromycin
clindamycin
4 types of bacterial rhinosinusitis
acute
viral
acute bacterial
recurrent
descriptions for acute rhinosinusitis:
(3)
- purulent nasal drainage
- nasal obstruction, facial pain/pressure
- may last >4 weeks
descriptions for viral rhinosinusitis:
(2)
- acute rhinosinusitis thought to be due to a viral pathogen
- sxs present < 10 days, not worsening
descriptions of acute bacterial rhinosinusitis:
(4)
- acute rhinosinusitis thought to be due to bacterial pathogen
- persistent sxs >10 days with no improvement
- severe sxs - feveer, purulent nasal discharge, facial pain for 3-4 consecutive days at beginning of illness
- worsening sxs - new onset of symptoms after initial improvement in sxs
1 description for recurrent acute rhinosinusitis
- 4 or more episodes of ABRS per year
3 main things to know from acute bacterial rhinosinusitis (he said this in class)
- persistent sxs: >__ days
- severe sxs: (list most imp one)
- worsening sxs: (description)
- 10
- fever
- start to feel better than relapse
description of chronic rhinosinusitis
> 2 signs/sxs for 12 weeks or longer
3 most common pathogens for acute bacterial rhinosinusitis
- strep pneumo
- h flu
- moraxella
