Other Flashcards
Indications for Tonsillectomy
-Tonsillar hypertrophy with sleep disordered breathing
- Recurrent throat infections for ≥7 episodes 1 yr
≥5 episodes in last 2 years
≥3 episodes in last 3 years
Bacteremia
Presence of bacteria in the blood
Septecemia
Presence of microorganisms or their toxins in the blood
Sepsis
whole body inflammation caused by severe systemic infection in blood, urinary tract and other typically sterile environments
Systemic Inflammatory Response Syndrom- SRIS-
Fever or hypothermia, leukocytosis or leukopenia, tachypnea, and tachycardia are the cardinal signs
Systemic systemic response to a nonspecific infectious or noninfectious insult.
Septic shock
Hypotension from sepsis persists despite adequate fluid regeneration- below 90 mmHg or 40mmHg below baseline
Sepsis
Sepsis is defined as the presence of infection (either documented or suspected) in conjunction with systemic manifestations of infection
Severe Sepsis
sepsis associated with organs dysfunction distant to site of infection- hypo perfusion and hypotension
Usefulness of guaifenisine (Mucinex)
Stimulates resp tract secretions- increasing volume and decreasing viscosity. Not good for persistent cough with excessive secretions
Antibiotic prophylaxis in endocarditis
Used in dental procedures that involve perforation of oral mucosa and gingival tissue.
PE stigmata in endocarditis
Nonspecific: petechiae (eyes & palate), splinter hemorrhages, clubbing. More specific: Osler’s nodes (painful), Janeway lesions, and Roth Spots
Endocarditis- Risk factors
IV drug use, Rhuematic fever, artificial valves & pacemakers, artificial valves, pacemakers, defects,
Endocarditis- Diagnostic work-up
Minimum 3 blood cultures at separate venipuncture sites. Two positives obtained 12 hrs apart or 3 or more positives 1 hour apart
Endocarditis- Management
- Bacteriacidal parenteral antibiotics, high serum concentration & prolonged (up to 6 wks).
- Surgery if complications,
- surveillance blood cultures
Endocardititis- Signs & symptoms
Stigmata, high grade fever, chills, abd pain, back pain, chest pain, arthalgia & myalgia, fatigue, weight loss
