quiz 5 part 2 Flashcards
mono sx
pharyngeal petechiae, maculopapular rash, malaise
mono labs
lymphocytosis, IgM ab, monospot, ebv serology, atypical lymphocytes
mono tx
prednisone, ampicillin (rash risk) no contact sports
acute necrotizing gingivitis
-prevotella intermedia, actinomyces
-pain and necrosis
-vincents angina
ang sx
-bleeding, halitosis (bad breath), fever, cervical adenopathy
ang tx
pnc with metronidazole and clindamycin or erythromycin alone
-debreidment
-antiseptic/ chlorhexine mouth wash
ang risk
preterm birth
ludwig angina
2nd or 3rd molar
-tooth extraction
-fulminant cellulitis
-must preserve the airway, intubate or trach bc asphyxiation can cause death
ludwig tx
iv ampicillin/ sulbactam, pnc g with metronidazole or clindamycin
-preserve the airway
oral candidians
c. albicans, stomatitis, oral thrush in kids
-mild can be asymptomatic
oral candidiasis sx
sore throat, odynophagia, cheesy white pkaques with a red bleeding base, brownish coating with deep fissures, pain w eating, angular cheilosis
candidians tx
-nystatin or clotrimazole
-severe: flutixazoke or itraconazole
leukoplakia
-can not be removed
-white lesions
-precancerous
-eruythroplakia is reda
all erythroplakia is?
premalignant
retropharygneal abscess
-early stage will present similar to pharyngitis until inflammation in the later stage
-can end up obstructing the upper aerodigestive tract
retropharyngeal abscess sx
dysphagia, odynophagia, drooling, neck stiffness, trismus, chest pain
retropharyngeal abscess tx
needle aspiration watch for the internal carotid
-tonsillectomy
peritonsillar abscess
collection of fluids in the peritonsillar space that pushes the tonsils medially
-pus in one or both tonsils
why no tongue depressors
can cause respiratory arrest in kids with airway obstruction
peritonsillar cellulitis morphs into
peritonsillar abscess if it does not resolve
peritonsillar abscess sx
-throat pain, trismus, dysphagia, odynophagia, drooling, neck pain
-signs: fever, dehydration, distress, tonsillar hypertrophy, contralateral deflection, bad breath, adenopathy, neck pitting ipsilateral
contralateral deflection
peritonsillar abscess
-uvula pushed to the good side
peritonsillar abscess workup
cbc, blood culture, monospot, tonsillar swab
apthous ulcer
-red halo
-topical steroid, (diphenhydramine, lidocain, maalox mouth wash)
epiglottitis
covers larynx due to swelling
-supraglotitttis can cause airway obstruction
-medical emergency
epiglottitis sx
-adult: URI, sore throat, muffled voice, tripod position, pain
-kids: drool, dysphagia, distress, stridor, cyanosis
-thrush candida can possible be s.aur
epiglottitis labs
WBC 15-46,000
-blood cultures may show influenxa b
-nack x ray show swollen epi and ct will show column of air suggesting fluid or early abscess
epiglotittis tx
-intubate, hospitalize, NPO, oxygen, ceftriaxone, taper steroids, not always need intubation
cutaneous candida
red exudate
