The Throat Flashcards
Most common causes of pharyngitis?
Adenovirus, rhinovirus.
Most common causes of tonsillitis?
Usually viral
Group A strep or H influenza
WHatr are the censor criteria?
No Cough
Tonsillar exudate
Tender cervical lymphadenopathy
Temp > 38 degrees.
Management of tonsillitis?
If cantor criteria 3 or more, then u can use ABx.
1) Penicillin V (10 days)
2) Clarithromycin (5 days)
Treatment of tonsillitis if unable to swallow?
Benzylpenicillin IV 10 days
Clarithromycin IV 5 days.
Criteria for tonsillectomy?
> 7 in one year
> 5 episodes per year for 2 years.
> 3 episodes per year for 3 years.
Name 2 complications of tonsillitis ?
Scarlet fever and quinsy.
What is scarlet fever?
Usually present within 3 weeks of tonsillitis with a stawrberry tongue and red roughened rash in armpits, chest and groin that is worse in the kin folds.
Clinical syndrome of quinsy?
Odynophagia,
Hot potatoe voice
Trismus.
O/E unilaterally large tonsil with deviation of the uvula.
What causes glandular fever/infectious mononucleosis?
Epstein Barr virus.
How does glandular fever present?
Sore throat plus:
- transient macular rash.
Petechia rash on palate
Lymphadenopathy for > 4wweks
Assocs with glandular fever:
Hepatitis, Splenomegaly, anaemia.
What would you see on examination of someone with glandular fever?
Bilateral tonsillar enlargement w/ membranous exudate +- hepatosplenomegaly.
Management of glandular fever?
Supportive care
Antibiotics not indicated.
Use of amoxicillin containing antibiotics will result in a widespread generalised macula-popular rash.
What should you advise patients with glandular fever?
Avoid return to sport for 6 weeks due to risk of splenic rupture.
