infection and skin

Question 1

pharyngitis

Answer 1

most common bacterial cause is Group A strep
Antibiotics do not significantly alter clinical course; however, they reduce complications such as rheumatic fever and glomerulonephritis. Penicillin is the treatment of choice

Question 2

Croup symptoms?

Answer 2

stridorous
younger, nontoxic-appearing children, who usually have a characteristic barking (“seal”) cough. Treatment of croup includes cool mist (though the literature supporting this is limited), racemic epinephrine (which is probably no better than nebulized l-epinephrine), and steroids

Question 3

epiglottis symptoms?

Answer 3

DROOLING
It presents in children who are older, with high fever, and who are ill appearing
need early airway management, preferably while the problem is still urgent (as opposed to during catastrophic deterioration) and preferably in the operating room. A lateral soft tissue X-ray would most likely reveal signs of an inflamed epiglottic region (e.g. thumbprint sign).

Question 4

rocky mountain spotted fever

Answer 4

spreads from the palms and soles. Very few rashes involve the palms and soles. It is endemic in the southeastern United States and spread by ticks

Question 5

ludwig angina

Answer 5

bilateral cellulitis, sparing of the glandular tissues, spread of cellulitis by continuity, not by lymphatics, presence of gangrene

Question 6

retropharyngeal abscess

Answer 6

fever, neck stiffness, and drooling, as well as her generally toxic appearance. Retropharyngeal abscess in children is often associated with foreign body ingestion leading to perforation of the hypopharynx or esophagus

Question 7

felon

Answer 7

an infection of the deep space of the fingertip, known as a felon