ENT Flashcards

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1
Q

What bacteria causes pharyngitis at a rate similar to GABHS?

A

Fusobacterium necrophorum

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2
Q

What is a complication of untreated fusobacterium necrophorum infection?

A

Lemierre syndrome (a life-threatening thrombophlebitis of internal jugular vein)

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3
Q

Sensitivity of RAT (rapid antigen test for GABHS)?

A

80-90%

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4
Q

A patient has centor score of 4

A

Empirically treat

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5
Q

Patient has centor score of 0-1

A

No treatment or diagnostic test

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6
Q

Patient has centor score of 2-3

A

Obtain RAT and treat if +

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7
Q

What are the non-suppurative complications of GABHS?

A
  1. RF
  2. Strep toxic shock syndrome
  3. PSGN
  4. PANDAS (peds AI neuropsychiatric disorder AW GABHS)
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8
Q

What are the suppurative complications of GABHS (the main reason we treat)?

A
  1. Tonsillopharyngeal cellulitis
  2. Peritonsillar and retropharyngeal abscess
  3. Sinusitis
  4. Meningitis
  5. Brain abscess
  6. Bacteremia
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9
Q

DOC for GABHS pharyngitis?

A

PCN (can give a single IM shot of 600,000 units PCN G)

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10
Q

What treatment might be indicated to reduce pain in GABHS pharyngitis?

A

A single dose of dexamethasone

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11
Q

How can you differentiate a peritonsillar abscess from a retropharyngeal abscess?

A

Peritonsillar abscess will have trismus and uvula deviation where as a RP won’t. Neck films or CT are indicated for both.

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