PEDS HEENT 3 Flashcards
Progression of bacterial tonsillitis
Causative agent: S. pyogenes
What condition?
Peritonsillar abscess
Difficulty & pain with swallowing
Drooling with decreased oral intake
Unwillingness to extend the neck
muffled/”hot potato“voice
Respiratory distress
Neck swelling/lymphadenopathy
Trismus
Sx of what?
Peritonsillar abscess
Which condition can px like epiglottitis?
peritonsillar abscess
Dx of Peritonsillar abscess
Clinical: uvual deviated, edema of anterior tonsillar pillar
CT w/contrast
aspiration
Herpangina on tongue & tonsillar pillars
maculopapular or vesicular rash on hands and feet
low grade fever
refusal to eat/drink, drooling
sore throat, HA
Which condition?
Coxsackie virus (Hand, foot, mouth disease)
usually < 5yo, daycare outbreaks: fecal-oral vs. oral & resp
Which condition?
Coxsackie virus
Tx of coxsackie virus
supportive, popsicles
Primary HSV-1 infection
Ulcerative lesions of the gingiva and mucous membranes, occasionally with perioral lesions
Which condition?
Herpetic Gingivostomatitis
3-4 day “prodrome”
Fever, sleeplessness, headache
Ulcerated lesions on mouth that bleed if disturbed
Which condition?
Herpetic gingivostomatitis
Tx of Herpetic Gingivostomatitis
acyclovir
NSAIDs/APAP for pain
HYDRATION
Incubation: 6-19 days
Prodrome: Fever, malaise, anorexia followed by conjunctivitis, coryza & cough
Koplik’s Spots 48 hrs before rash
maculopapular, blanching rash (face –> neck–>trunk–>extr)
Sx of which condition?
Measles
Measles may cause what dz?
Encephalitis
Dx of measles
IgM assay
Tx of measles
supportive
Prodromal sx for 2-3 days
Unilateral Parotitis & becomes bilateral
Loss of angle of jawbone
Clinical Px of which condition?
Mumps
Complications of mumps
Orchitis: Fever, severe testicular pain and swelling
Oophoritis
Encephalitis
Tx of mumps
supportive
Mild illness in children
Fever w/ postauricular and occipital adenopathy
Acute onset of maculopapular rash: starts on face, spreads within 24h, disappears within about 3 days
Clinical px of which condition?
Rubella (German measles)
Clinical Px of what?
Hearing loss, mental retardation, cardiovascular defects, ocular defects
retarded growth, purpuric “blueberry muffin” rash at birth
jaundice, thrombocytopenia, deafness
Congenital Rubella Syndrome
Tx of Rubella (German Measles)
supportive
VACCINATE
“Beefy Red” erythema with satellite lesions
Usually a result of poorly treated irritant dermatitis
Secondary infection with C albicans
Involves the skin folds
Clinical Px of which condition?
Diaper Candidiasis
Tx of Diaper Candidiasis
DO NOT USE STEROIDS
clotrimazole + barrier ointment
Cleanse gently with plain warm water and very mild soap
Greasy, yellowish scales on scalp (#1), ear, face, diaper area.
Usually 3wks- 12mos of age
Clinical Px of which condition?
Cradle cap = sebhorrhein dermatitis
Tx of cradle cap
Conservative: emollient + soft baby-brush to remove scales
Severe: topical steroid or ketoconazole shampoo
2-5 yo
Bullous and non-bullous(MC)
Staph aureus (poss Strep)
Clinical px of which condition?
Impetigo
Papules –> vesicleS –> thick, “honey-colored” crust w surrounding erythema, usually face & extremities
Which condition?
Non-bullous impetigo
Flaccid bullae with clear yellow fluid; ruptured bullae leave thin brown crust, usually on trunk
Which condition?
Bullous impetigo
Tx of impetigo
mupirocin topical abx 3x a day for 5 days
Severe: mupirocen ointment + PO abx (Keflex) x 7 days
