Lecturio

Question 1

Acute Pharyngitis symptoms ?

Answer 1

Triad : Fever , Sore throat , Pharyngeal inflammation

Question 2

Sore Throat Organisms ?

Answer 2

gp A Streptococci (GAS or pyogenes) , but mostly Viral : Covid , Influenza A & B , Coxsackie , Epstein-Barr (Mononucleosis) , Adeno , Rhino , Entero , uncommon in pic I.1

Question 3

Sore Throat Anaerobe (uncommon)

Answer 3

Fusobacterium necrophorum

Question 4

Why Sore Throat : Sexual History?

Answer 4

Neisseria Gonorrhoeae , usualy mild or asymptomatic

Question 5

GAS symptoms and age

Answer 5

younger age , Painful swallowing , Fever , Sometimes GI , Pharyngeal erythema , Exudative Tonsillitis , Red edemous uvula , ABSENCE OF COUGH , soft palate petechiae , Painful lymphadenopathy , rash (pic I.2)

Question 6

Oral candidiasis and Pharyngitis , what to do ?

Answer 6

HIV Test , not GAS

Question 7

GAS differential diagnosis

Answer 7

pic I.3

Question 8

Fusobacterium necrophorum age and complications

Answer 8

pharyngitis in young adults , Vein blood clot –> Peritonsillar abscess , Lemierre’s syndrome (very dangerous)

Question 9

Lemierre’s syndrome

Answer 9

Sepsis , suppurative jugular vein thrombophlebitis

Question 10

Corynebacterium diphteriae

Answer 10

GAS like symptoms , Gray Leather adherent membrane on pharynx and tonsils , Impressive Lymphadenopathy (Bull neck) , GAS like symptoms , Gram positive chinese letter clumps

Question 11

Arcanobacteriu haemolyticum

Answer 11

GAS like symptoms and scarlatiniform rash , RARE

Question 12

Atypical Bacteria causing viral like pharyngitis

Answer 12

PIC I.4

Question 13

Epstein-barr disease , way of transmittance

Answer 13

Infectious mononucleosis , Transmitted by kissing

Question 14

Infectious mononucleosis symptoms

Answer 14

sub-acute fever , sore throat , FATIGUE , rash from amoxicillin !! (not allergy) , mild exudative tonsillitis , palatal petechiae , very impressive Lymphadenopathy and splenomegaly

Question 15

splenomegaly in athletes complications

Answer 15

stay away from contact sports because trauma can cause rupture

Question 16

mononucleosis and strep throat differential diagnosis

Answer 16

A sore throat from strep throat will typically lead to enlarged tonsils, and there can also be red and white patches in the throat. Mono will often make an individual feel fatigued, which is typically not a symptom of strep throat. Another possible symptom of mono is an enlarged or swollen spleen.

Question 17

GAS treatment criteria

Answer 17

pic I.5 and I.6 , can wait up to 10 days for treatment for lower risk of sequlae

Question 18

GAS treatment

Answer 18

pic I.7

Question 19

Fusobacterium necrophorum

Answer 19

GAS like symptoms , anaerobe , Ampicillin/sulbactam (beta lactamase inhibitor) + metronidazole(anaerobe)

Question 20

C. diphteriae treatment

Answer 20

PCN , if only colonized Macrolid

Question 21

Rheumatic fever meaning and cause

Answer 21

Rheumatic fever (acute rheumatic fever) is a disease that can affect the heart, joints, brain, and skin. Rheumatic fever can develop if strep throat and scarlet fever infections are not treated properly.

Question 22

toxic shock syndrome cause

Answer 22

a rare, life-threatening complication of certain types of bacterial infections. Often toxic shock syndrome results from toxins produced by Staphylococcus aureus (staph) bacteria, but the condition may also be caused by toxins produced by group A streptococcus (strep) bacteria.

Question 23

Toxic shock syndrome symptoms

Answer 23

A sudden high fever
Low blood pressure
Vomiting or diarrhea
A rash resembling a sunburn, particularly on your palms and soles
Confusion
Muscle aches
Redness of your eyes, mouth and throat
Seizures
Headaches

Question 24

untreated GAS (phrayngitis) complications

Answer 24

pic I.8