Oral Thrush Flashcards
What are some patient factors in oral thrush that warrant a referral to an MD?
Under 1 or over 65 (unless they recently used antibiotics for an inhaled steroid)
Denture wearer
Recent burn in the mouth
Chemotherapy
Immunocompromised
New drug (reaction)
What are some red flags associated with oral thrush?
Lesion present for more than 3 weeks
Lesions present elsewhere on body
Lesions are ulcerous or vesicular
White, inflamed, scaly or striated patches in mouth
What are some characteristic symptoms associated with oral thrush?
Superficial, white to creamy white curd-like plaques/ patches on lips, buccal mucosa, tongue and/or palate
Plaques/patches can be scraped off to reveal an erythematous base and may cause mild bleeding
Cottony feeling in the mouth
What are some treatments for oral thrush?
Nystatin 100,000 units/ml x 7 days
Infants (1-2ml QID)
Adults (4-6ml QID)
What are some patient factors in shingles that warrant referral to an MD?
Under 12
Immunocompromised
Recent new medication (rule out drug reaction)
What are some red flags in shingles?
Neurological changes (confusion or delirium)
Ocular or auricular involvement
Systemic symptoms (nausea, vomiting, fever, chills, or severe pain)
What are some typical symptoms associated with shingles?
Unilateral rash which follows dermatome
Grouped vesicles on erythematous base
Pain (with or without itching)
Malaise, myalgia, headache may be present
Prodromal pain, burning may present before lesions develop
What is the treatment of shingles if it has been over 72 hours since the onset of symptoms?
OTC analgesics
What is the treatment of shingles in patients how are UNDER 50 and have not experienced symptoms for more than 72 hours?
OTC analgesics (with or without Rx antivirals)
What is the treatment of shingles in patients how are OVER 50 and have not experienced symptoms for more than 72 hours?
OTC analgesics + Rx antivirals x 7 days
