PCM Pulmonary Flashcards
Acute Bacterial Rhinosinusitis: areas of localized pain include
forehead (Frontal sinus) under eye (maxillary sinus)
Acute Bacterial Rhinosinusitis: symmetrical nasal discharge of asymmetrical
can be both, from nasal cavity
Acute Bacterial Rhinosinusitis: rare but important sumptoms may include
severe headaches, redness, tenderness, swelling in/around eyebrow
Acute Bacterial Rhinosinusitis: Signs and Symptoms
Persistent, and not improving (10 days)
Severe (3-4 days)
Worsening or double sickening (less than three to four days)
double sickening: I thought i was getting better, and then it got really bad. dead giveaway
Physicians Decisions
are antibiotics indicated?
what is the best antibiotic for this patient?
what are some of the things that the patient can do to feel better?
how soon should I see this patient back in the office?
Neti pot and squeezy bottle
used to flush nose in case of rhinosinusitis
Dizziness: differential
ENT issues
BPPV (Benign Paroxysmal Positional Vertigo), labyrinthitis, Meniere’s disease
Cardiovascular: Dysrhythmia, hypotension
Respiratory: hyperventiliation
Neuro: parkinsonism
Techniques for BPPV:
Dix-Hallpike and Epley Maneuver
Streptococcal Pharyngitis is caused by
Streptococcus Pyogenes.
Lethiasis indicates
a stone
Pharyngitis isn’t always
Strep
Adapted Centor Critera for Streptococcal Pharyngitis
Fever (subjective or measured) Cervical adenopathy Tonsillar exudate No cough Age (1 point for age 15 years)
What are the giveaways for strep?
beefy red soft palate uvula enlarged red tonsils white or yellow patches on the tonsils tine red hemorrhages on soft palate
What treat strep?
it can effect cardiac and kidney diseases, and progression to rheumatic fever. more common in third world countries.
Cobblestoning
caused by post nasal drop from rhinitus, often caused by seasonal allergies
