PHARYNGITIS Flashcards

1
Q

sudden painful inflammation of the pharynx (back portion of the throat)

A

PHARYNGITIS/ACUTE PHARYNGITIS

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2
Q

what anatomical features consists in pharyngitis

A

POSTERIOR THIRD OF TONGUE, SOFT PALATE, AND TONSILS

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3
Q

two types of acute pharyngitis

A

VIRAL AND BACTERIAL PHARYNGITIS

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4
Q

causes of viral pharyngitis

A

ADENOVIRUS, INFLUENZA VIRUS, EBV, HSV

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5
Q

what color is the pharyngeal membrane and tonsils of a person with viral pharyngitis

A

FIERY-RED

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6
Q

what is the condition of the lymphoid follicles? (viral pharyngitis)

A

SWOLLEN AND FLECKED WITH WHITE-PURPLE EXUDATE

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7
Q

what will you feel when palpating the cervical lymph nodes? (viral pharyngitis)

A

ENLARGED AND TENDER

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8
Q

(viral pharyngitis) no cough but _________

A

BAD BREATH IS COMMON

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9
Q

cardinal sign of inflammation present in viral pharyngitis

A

FEVER AND MALAISE

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10
Q

cause of bacterial pharyngitis

A

GROUP A BETA-HEMOLYTIC STREP (GABHS)

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11
Q

other terms for GABHS

A

GROUP A STREPTOCOCCUS (GAS) / STREPTOCOCCAL PHARYNGITIS

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12
Q

signs and symptoms caused by GABHS/GAS

A

VOMITING, ANOREXIA, SCARLET FEVER

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13
Q

type of pharyngitis where there is persistent inflammation of the pharynx

A

CHRONIC PHARYNGITIS

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14
Q

type of chronic pharyngitis: characterized by general thickening and congestion of pharyngeal mucous membrane

A

HYPERTROPHIC

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15
Q

type of chronic pharyngitis: late stage where the membrane is alread thin, whitish, glistening, and wrinkled

A

ATROPHIC

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16
Q

type of chronic pharyngitis: where numerous swollen follicles are present on the pharygeal wall

A

CHRONIC GRANULAR

17
Q

what is the chief complaint of a person with chronic pharyngitis?

A

CONSTANT SENSE OF IRRITATION OR FULLNESS OF THE THROAT

18
Q

clinical manifestations of chronic pharyngitis

A
  1. MUCOUS THAT COLLECTS IN THROAT AND CAN BE EXPELLED BY COUGHING
  2. DIFFICULTY SWALLOWING
19
Q

what to suspect if there’s sore throat that is worse with swalowing but in the absence of pharyngitis

A

THYROIDITIS

20
Q

disease process of pharyngitis

A

BODY RECOGNIZE FOREIGN MICROORGANISM > TRIGGER INFLAMMATORY RESPONSE OF PHARYNX > PAIN FEVER, VASODILATION, EDEMA, TISSUE DESTRUCTION > REDNESS AND SWELLING IN TONSIL PILLARS WITH CREAMY EXUDAT, UVULA, AND SOFT PALATE

21
Q

dx study: collect specimen what part of pharynx?

A

RAPID ANTIGEN DETECTIVE TEST - POSTERIOR

22
Q

dx study: confirmatory for NEGATIVE result

A

THROAT CULTURE

23
Q

dx study: where it is the common test available in 24 hours in communities

A

PRELIMINARY CULTURE

24
Q

diet

A

LIQUID/SOFT (COOL BEVERAGE, WARM LIQUID, FLAVORED FROZEN DESSERTS)

25
how much OFI a day?
2-3 L
26
when in febrile stage, what to instruct patient?
ENCOURAGE BED REST
27
with regard to skin, what and when to examine?
EXAMINE SKIN ONCE OR TWICE A DAY FOR POSSIBLE RASH
28
rationale of war saline gargles or throat irrigation
TO REDUCE SPASM IN PHARYNGEAL MUSCLES AND RELIEVE SORENESS OF THROAT
29
alternative of warm saline gargles or throat irrigation
ICE COLLAR
30
preventive measures to avoid spread of disease
REPLACING TOOTHBRUSH WITH A NEW ONE PERFORM MOUTH CARE
31
drugs for acute pharyngitis (how many days taken)
PENICILLIN - PENICILLIN V POTASSIUM (PO 10 DAYS) MACROLIDES - CLARITHROMYCIN - AZITHROMYCIN (3 DAYS) CEPHALOSPORIN - CEFPODOXINE, CEFUROXIME (5 DAYS) ANALGESIC - ASPIRIN, ACETAMINOPHEN
32
drugs for chronic pharyngitis (rationale)
NASAL SPRAY - EPHEDRINE SULFATE, PHENYLEPHRINE (FOR NASAL CONGESTION) ANTIHISTAMINE DECONGESTANT MEDICATIONS - PSEUDOEPHEDRINE (FOR HX OF ALLERGIES) ANALGESIC - ASPIRIN, ACETAMINOPHEN LOZENGES (TO KEEP THE THROAT MOISTENED)