Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Urgent Care Guide > ENT 4 > Flashcards

ENT 4 Flashcards

1
Q

pharyngitis

A

inflammation of the pharynx, caused by viral, bacterial, or fungal source or occasionally allergies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

inflammation of the pharynx, caused by viral, bacterial, or fungal source or occasionally allergies

A

pharyngitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

peritonsillar abscess

A

infection of the posterior pharynx with a collection of purulent material around tonsils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

infection of the posterior pharynx with a collection of purulent material around tonsils

A

peritonsillar abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

pharyngitis - sx
3

A
  1. fever
  2. sore throat
  3. pain or difficulty swallowing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

pharyngitis - symptoms peak when?

A

peak 3-5 days from onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

peritonsillar abscess - sx
4

A
  1. fever
  2. throat pain
  3. trismus (lock jaw)
  4. +/- difficulty swallowing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

peritonsillar abscess - pain is usually where

A

one side of throat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

peritonsillar abscess - physical exam
3

A
  1. look for inferior and medial displacement of infected tonsil w/ contralateral deviation of uvula away from affected tonsil
  2. +/- drooling and muffled, “hot potato” voice
  3. cervical lymphadenopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

pharyngitis - physical exam viral
2

A
  1. pharyngeal erythema
  2. tonsillar hypertrophy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

pharyngitis - physical exam bacterial
3

A
  1. tonsillar exudates (exudate may suggest mono)
  2. palatal petechiae
  3. anterior cervical lymphadenopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

pharyngitis - exudate may suggest what

A

mono

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

pharyngitis - physical exam fungal
2

A
  1. angular cheilitis
  2. curd like plaques in oropharynx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

quick scale to use when suspecting strept pharyngitis

A

CENTOR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

CENTOR scale includes
7

A
  1. fever 1
  2. tonsillar exudate 1
  3. absence of cough 1
  4. anterior cervical lymphadenopathy 1
  5. age 3-14 1
  6. age 15-44 0
  7. age 45 and older -1
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CENTOR score recs

A

1 or less - no culture, no abx
2-3 - RADT or throat culture
4 or more - abx tx

17
Q

pharyngitis - viral 4 and bacterial etiologies 2

A

viral - adenovirus, coxsachievirus, HSV, EBV/mono
bact - group A strep, N. gonorrhoeae

18
Q

viral pharyngitis - tx
3

A

symptomatic tx
NSAIDs
warm saline gargling
lozenges

19
Q

pharyngitis - suspected mono tx
3

A
  1. symptomatic tx
  2. abstain from contact sports 6-8 weeks d/t risk of splenic rupture
  3. amoxicillin can lead to diffuse rash - not an allergy, no tx required
20
Q

bacterial pharyngitis - adult tx
5

A
  1. benzathine PNC G 1.2 million units IM once (if concerned for low compliance)
  2. amoxicillin 500 mg PO BID or 1000 mg PO once daily for 10 days
  3. cephalexin 500 mg BID for 10 days
  4. azithromycin 500 mg PO once daily for 5 days
  5. severe pnc allergy - clindamycin 300 mg PO q8H for 10 days
21
Q

bacterial pharyngitis - peds tx
5

A
  1. benzathine pnc G - <27 kg: 600000units IM once, >27 kg: 1.2 million units IM once
  2. amoxicillin 25 mg/kg PO BIG or 50 mg/kg PO once daily for 10 days
  3. cephalexin 20 mg/kg PO BID for 10 days
  4. azithromycin 12 mg/kg PO once daily for 5 days
  5. severe pcn allergy - clindamycin 10mg/kg PO q8h for 10 days
22
Q

bacterial pharyngitis - symptomatic tx
3

A
  1. topical anesthetics (OTC sore throat spray, chloreseptic; prescription lidocaine solution for adults - q3h prn)
  2. NSAIDs
  3. steroids for pain relief (dexamethasone 0.6 mg/kg PO once, or 10 mg once for adults PO or IM)
23
Q

peritonsillar abscess - tx
3

A
  1. needle aspiration or I&D (need to be done by ER or better an ENT specialist w/ prophylactic abx given)
  2. Augmentin 875 (P 45 mg/kg) PO BID for 10-14 days
  3. clindamycin 450 mg (P 10 mg/kg) PO q8h for 10-14 days
24
Q

peritonsillar abscess - when to refer to ER

A

when considering US or CT imaging

25
Q

epiglotitis

A

inflammation of epiglottis and surrounding supraglottic region, which may rapidly progress to airway obstruction

26
Q

inflammation of epiglottis and surrounding supraglottic region, which may rapidly progress to airway obstruction

A

epiglottis

27
Q

epiglottis - sx
5

A
  1. fever
  2. severe sore throat +/- drooling
  3. dysphagia
  4. changes in voice - muffled, hoarse, hot potato
  5. SOB
28
Q

fever, sore throat, drooling

A

epiglotitis

29
Q

epiglottis - physical exam findings
9

A
  1. fever
  2. tachycardia
  3. tachypnea
  4. may appear toxic
  5. “tripod” posturing w/ drooling
  6. tenderness over hyoid bone/thyroid
  7. lymphadenopathy
  8. stridor
  9. respiratory distress
30
Q

epiglotitis - tx

A

immediate transfer to ER - medical emergency

31
Q

What kind of test can you do to test for mono?

A

Blood only

Urgent Care Guide (38 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions