Infectious diseases (miscellaneous) Flashcards

1
Q

What are the likely microbial causes of pharyngitis?

A

Viral: adenovirus, rhinovirus, coronovirus, EPV.
Bacterial: Group A Streptococcus, H. influenzae, Step. pneumoniae

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2
Q

What system is used to determine antibiotic prescription in Ps with pharyngitis?

A

Fever-PAIN Score

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3
Q

Which criteria does the Fever-PAIN Score involve?

A
  1. fever in last 24hrs
  2. muscle aches
  3. sore throat
  4. absence of bad cough
  5. severely inflamed tonsils (e.g. pus)
  6. anterior cervical glands
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4
Q

How likely is it that Ps with fever-PAIN Scores of 0-1, 2-3 and >4 have a streptococcal infection? What is the implication for antibiotic prescription?

A

0-1: 13-18% (no antibiotics)
2-3: 34-40% (delayed/back-up antibiotic)
>4: 62-65% (antibiotics)

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5
Q

What is the likely cause of lumps in the neck of Ps with pharyngitis?

A

reactive lymph nodes

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