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ICM Infectious Disease > Strep Pharyngitis > Flashcards

Strep Pharyngitis Flashcards

1
Q

What is Strep?

A

Infection of pharynx or tonsils with Group A beta hemolytic strep

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2
Q

Most common age of Strep?

A

5 to 15, can happen at any age

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3
Q

How is strep transmitted?

A

Direct contact/droplet

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4
Q

Incubation period of strep?

A

2-5 days

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5
Q

Something in patient history that is freqently missed that is a clue?

A

Headaches

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6
Q

What is strep sometimes confused with?

A

Viral pharygitis
Coxsackie
Herpes

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7
Q

How do you diagnose strep?

A

Rapid strep test

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8
Q

What is rapid strep test based on?

A

Nitrous acid extraction of Group A carbohydrate antigen bacteria

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9
Q

Main treatment for strep?

A

Penicillin

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10
Q

In penicillin senstiive people what do you use?

A

Erythromycin

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11
Q

How high is the carrier state for strep?

A

10-20%

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12
Q

What do you use for carrier state?

A

Benzathing penicillin G

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13
Q

How do you get scarlet fever?

A

Erythrogenic exotoxin in strep organism

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14
Q

Incubation period for scarlet fever?

A

1-7 days

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15
Q

In scarlet fever where does rash start?

A

First in axillae, groin, neck. Then face, trunk, hands, and feet

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16
Q

How do you treat scarlet fever?

A

Penicillin for 10 days

17
Q

Etiology of rheumatic fever?

A

Group A beta hemolytic strep pharyngitis

18
Q

How to prevent Strep?

A

Oral daily penicillin

Bicillin injection 1x per month

19
Q

What causes Glomerulonephritis?

A

group A beta hemolytic strop throat or skin infection 1 to 2 weeks preceding development

20
Q

How do you diagnose Glomerulonephritis?

A

Hematuria (RBC casts)

Abdominal/flank pain

21
Q

Signs of renal failure?

A

Edema
Congestive heart failure
Encephalopathy

22
Q

Very rare problem following GABHS pharyngitis or tonsillitis?

A

Toxic Shock Syndrome

ICM Infectious Disease (19 decks)

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