Throat

Question 1

What & trmnt

fever symptoms with tender posterior and anterior cervical lymph nodes

Answer 1

Mono
- fever/pain → Acteaminophen or ibuprofen
- Red tonsils w/o abscess → Dexamethasone (Decadron)

Question 2

Mono is caused by what virus

Answer 2

Epstein-Barr Virus

Question 3

Is strep throat bac or viral?

Answer 3

BACTERIAL

Question 4

what & trmnt

sudden onset of fever symptoms with tonsilar and anterior cervical lymph node tenderness

Answer 4

strep throat
- Bac Strep → #1 Pencillin
- PEN VK (amoxicillin - peds)
- PCN allx → Erythromycin/Azithromycin

Question 5

Most frequent deep space infection of the head and neck

Answer 5

Peritonsilar Abscess

Question 6

what & trmnt

large mass pushing uvula over

Answer 6

peritonsilar abscess
- Aspiration → I&D
- ABX: Clindamycin IV
- if not responding → + Vanco or Linezolid
- Recurrent issues → Tonsillectomy

Question 7

what & trmnt

Gray spot and membrane that bleeds with removal

Answer 7

Diptheria
- Erythromycin

Question 8

what & trmnt

upper neck red and swollen. tongue pushed up and back

Answer 8

Ludwig’s Angina
- CT to tell if abscess or infection
- IV antibiotics - Clindamycin q8h or PCN & metronidazole

poss intubation

Question 9

test of choice for retropharyngeal abscess

Answer 9

CT

Question 10

Most frequent deep spsace infection of the head and neck

Answer 10

Peritonsillar abscess

collection of pus located b/w capsule of palatine tonsil and pharygneal muscles

Question 11

PEARL

Anyone with hoarseness>2wks must be eval by ______ for _____

Answer 11

indirect laryngoscopy for cancer