EENT Flashcards

1
Q

What are the sx of strep throat?

A
  • Fever > 38 C
  • tender cervical adenopathy
  • lack of cough
  • tonsillar exudate
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2
Q

What 2 meds are used for tx of strep throat?

A
  • PCN

- Erythromycin

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3
Q

PCN: What should you monitor?

A
  • Signs of anaphylaxis during 1st dose

- Opportunistic infection

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4
Q

What med can enhance the anticoagulant effect of warfarin?

A

PCN

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5
Q

What are the causes of acute laryngitis?

A
  • Usually viral

- M. catarrhali, H. influenzae

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6
Q

What 3 meds are used for tx of acute laryngitis?

A
  • Erythromycin
  • Cefuroxime
  • Augmentin
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7
Q

What are the signs & sx of HSV?

A
  • Prodrome = burning, pain, tingling

- Erythematous papules –> vesicles rupture –> SF ulcers –> scabs

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8
Q

What labs should you monitor in HSV?

A
  • Urinalysis

- BUN, Cr, liver enzymes, CBC

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9
Q

What 3 abx should you use for bacterial conjunctivitis?

A
  • Macrolides
  • Aminoglycosides (Tobramycin)
  • Polymixin-Trimethoprim
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10
Q

What abx should you use for bacterial conjunctivitis?

A
  • Macrolides
  • Aminoglycosides (Tobramycin)
  • Polymixin-Trimethoprim
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11
Q

What organism causes blepharitis?

A

S. aureus

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12
Q

How do you tx preseptal (periorbital) cellulitis?

A
  • If MSSA:
    1. Augmentin
    2. Cefpodoxime
    3. Cefdinir
  • If CA-MRSA:
    1. Trimethoprim
    2. Clindamycin
    3. Doxycycline
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13
Q

How do you tx a corneal abrasion?

A
  • Erythromycin
  • Sulfacetamide
  • Polymixin/trimethoprim
  • Ciprofloxacin
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14
Q

How do you tx corneal abrasion?

A
  • Erythromycin
  • Sulfacetamide
  • Polymixin/trimethoprim
  • Ciprofloxacin
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15
Q

How do you tx a corneal ulcer?

A

Fluoroquinolones

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16
Q

How do you tx HSV keratitis?

A
  • Topical antivirals: Ganciclovir gel, trifluridine solution
  • Corticosteroids (ONLY via ophthalmologist)
17
Q

How do you tx herpes zoster?

A
  • Antivirals & abx

- Corticosteroids (ONLY via ophthalmologist)

18
Q

Bacterial conjunctivitis: What method of tx is preferred for children?

A

Ointment

*Also good for those w/ poor compliance & whom it is difficult to administer eye meds

19
Q

In pts w/ bacterial conjunctivitis, when should they respond to the med?

A

1-2 days

20
Q

What is the tx for viral conjunctivitis?

A

None, but…
Can relieve sx via:
- Antihistamine/decongestants
- Lubricating agents

21
Q

For acute conjunctivitis, what med should NOT be prescribed by primary care clinicians?

A

Glucocorticoids

22
Q

How do you tx otitis externa?

A
  • Decrease moisture
  • Aminoglycoside
  • Fluoroquinolones
23
Q

How do you tx otitis externa?

A
  • Decrease moisture
  • Aminoglycosides
  • Fluoroquinolones
24
Q

How do you tx otitis media?

A
  • Amoxicillin (empiric tx)
  • Erythromycin + sulfonamide
  • Cefaclor
  • Augmentin
25
Q

In otitis media, how should you disperse augmentin to a child w/ severe illness?

A

90mg every 12 hrs for 10 days

26
Q

In otitis media, how should you disperse augmentin to a child w/ severe illness?

A

90mg every 12 hrs for 10 days

27
Q

How do you tx otitis media in pts w/ PCN allergy?

A
  • Azithromycin
  • Clarithromycin
  • Erythromycin-sulfisoxazole
  • Clindamycin (max = 1.8mg)
  • Trimethoprim
28
Q

Describe sinusitis

A
  • Most often viral

- Inflammation of > 1 of the paired paranasal sinuses (maxillary = most common)

29
Q

What organisms are seen in bacterial sinusitis?

A

S. pneumo > H. influenzae > M. catarrhalis

30
Q

How do you tx sinusitis?

A
  • Fluids
  • Humidity
  • Saline irrigation
31
Q

When can you administer abx for tx of sinusitis?

A

Only if sx worsen after 5-7 days or sx persist > 10-14 days

32
Q

What can decrease one’s risk of acute otitis media?

A

Vaccination against flu & pneumo

33
Q

What is the empiric med for acute sinusitis?

A

Amoxicillin

34
Q

What is the empiric med for acute pharyngitis?

A

PCN

35
Q

What does of amoxicillin is recommended in pts w/ otitis media who have a high risk for a PRSP infection?

A

High dose (80-90mg/day)

36
Q

What are the characteristics of primary open-angle glaucoma?

A
  • 95% of cases
  • Insidious, peripheral vision loss
  • Excavation (“cupping”) & pallor of the optic disk
  • Elevated IOP due to reduced drainage of aqueous fluid through the trabecular meshwork
37
Q

How do you decrease IOP in open-angle glaucoma?

A
  • Increase aqueous drainage
  • Decrease aqueous production
  • Surgery (if unresponsive to meds)