Oral Cavity Flashcards
What are the Initial S and S of Acute Pharyngitis?
Dryness and scratchiness
Throat Pain
Malaise and Headache
Slight Fever
What are the later Sx of Acute Pharyngitis?
Dysphagia Sore throat Malaise Fever 104F Fetid Breath Otalgia
What is the Tx of Acute Pharyngitis?
Antimicrobials (culture pos only)
Warm throat Irrigation
Supportive care
What are the most common Etiologies of Acute Pharyngitis?
B Hemolytic Strep Group A Strep Viridans Pneumococci Staph H influenzae Viruses
What is the Tx of Acute Tonsillitis?
Bed Rest, Fluids, Oral analgesics, gargles
ABTX: Penicillin
What are the signs of Infectious Mononucleosis?
Acute infectious disease
Fever, malaise, somnolence, LN enlargement (Post Tri), Lymphocytosis
What are the causes of Infectious Mono?
EBV or CMV
What are the Sx of Mono?
Malaise Macular Rash Enlarged LN => Ulcerates Fever, chills Splenomegaly
How is Mono Diagnosed?
CBC: Elev CBC w/ Neutrophils Lymphocytic Leukocytosis POS MONO SPOT Heterophil Ab titer >1:60 Culture to rule out B-Hemolytic pharyngitis
What is the Tx of Mono?
Syptomatic
Prednisone
Reduced Activity
What are the Complication of Mono?
Ruptured Spleen
Guillian Barre Ascending Paralysis
CN Paralysis
What are the Sx of a Peritonsillar Abcess?
Swelling interferes w/ articulation and speech
Tonsil may appear normal
Trismus
What is trismus?
Spasm of jaw muscles making it difficult to open the mouth
What is the Pathophys of Peritonsillar Abcess?
Supprative Infiltration in supratonsillar fossa
Edema of soft palate
Swelling to adj soft tissue
What is the Most common bacterial cause of Peritonsillar Abcess?
Strep Pyogenes
What is the Tx of Peritonsillar Abcess?
1) Surgical incision and drainage
Pus? Abcess
No Pus? Cellulitis
2) Abtx and Saline irrigation
What are the traits of retropharyngeal Space?
Entire length of neck Anterior: Pharynx and esophagus Posterior: Alar layer of Deep fascia Inferior: Superior Mediastinum Retropharyngeal nodes
What are the Sx of Retropharyngeal Abcess?
Torticollis Nuchal Rigidity Airway Sx Symmetric Voice Change less common
What is the Tx of RP Abcess?
Airway Mngt
Surgical incision and drainage
IV Hydration, ABTX, Steroids
What are the indications of Tonsillectomy?
7 episodes in 1 yr
5/year for 2 yrs
3/yr for 3 yrs
Fever, LAD, Exudate, Pos for GABHS
What are the principles of Surgical Tonsillectomy?
Guillotine Tonsillotome Becks snare Dissection w/ snare Electrodissection Laser Dissection
What are criteria for overnight obs after tonsillectomy?
Poor oral intake, Vomit, hemor Age 45 mon away Poor Soc Econ cond Comorbidities OSA or PTA Abn coag values
What are the post-op complications of Tonsillectomy?
Post-op bleeding Sore throat, otalgia, uvula swelling Resp compromise Dehydration Burns other trauma
What are indications for Adenoidectomy?
Obstruction: Dysphagia, speech problems
OSA
infection
What is pre-op eval of adenoid disease?
Triad: Hyponasality, snoring, mouth breathing
Rhinorrhea, noct cough, PND
Adenoid facies
Overbite, long face, crowded incisors
