Non-science (In progress) Flashcards
What is availability bias?
Considering easily remembered diagnoses more likely irrespective of prevalence
Base Rate Neglect Bias is?
Pursuing Zebras
Representativeness Bias is?
Ignoring atypical features that are inconsistent with favored diagnosis
Confirmation bias is?
Seeking data only to confirm your initial hypothesis.
Premature closure is?
Stopping diagnostic process too soon.
Gonococcal pharyngitis etiology
Bacterial - N. gonorrhea, C. trachomatis Viral - EBV, CMV, HIV Seasonal allergies + post-nasal drip GERD
Gonococcal pharyngitis symptoms and physical exam findings
Symptoms: Sore throat, fever PE: Swollen tonsils, erythema, exudates
Herpetic gingivostomatitis etiology
HSV-1
Herpetic gingivostomatitis symptoms and physical exam findings
Symptoms:Sore throat, fever, malaise PE: Ulcers affecting anterior oropharynx (e.g. gums, lips, tongue) Lesions on finger (herpetic whitlow)
Herpangina etiology
Coxsackievirus
Herpangina symptoms and physical exam findings
Symptoms: Sore throat, fever, rash PE: Erythematous ulcers in posterior oropharynx Rash to palms/soles (hand foot mouth disease)
Strep pharyngitis symptoms and physical exam findings
Symptoms: Sore throat, fever Abdominal pain, vomiting Headache PE: Tonsilar erythema + edema Palatal petechiae Scarlet fever sx (strawberry tongue, lymphadenopathy, sandpaper-like rash) Exudates in adults and teenagers
Infectious mononucleosis symptoms
Infectious mononucleosis Etiology: EBV Symptoms: Sore throat, fever, fatigue for weeks-months
Infectious mononucleosis physical exam findings
PE: Exhaustion, muffled voice Tonsillar hypertrophy + exudates Cervical lymphadenopathy Hepatosplenomegaly Morbilliform rash (if treated prior with amoxicillin for presumed strep)
Peritonsillar abscess etiology
Strep. Pyogenes Anaerobic polymicrobial
Peritonsillar abscess symptoms and physical exam findings
Symptoms: Sore throat, fever, “hot potato” voice
PE: Palatal bulge on one side Trismus (difficulty opening mouth)
What are 3 causes of sore throat in children?
Herpetic gingivostomatitis, Herpangina, Strep pharyngitis
Diagnosis
Infectious mononucleosis
Diagnosis
Strep pharyngitis
Diagnosis
Herpangina
Diagnosis
Herpetic gingivostomatitis
Diagnosis
Aphthous ulcers
Diagnosis
Pharyngitis
Diagnosis
Peritonsillar Abscess
Diagnosis
Gonoccocal Pharyngitis
What is the Centor clinical prediction rule for?
Strep Pharyngitis