Throat Flashcards

1
Q

sore throat encompasses … (3)

A
  • pharyngitis
  • tonsillitis
  • laryngitis
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2
Q

Centor criteria is …

A

a way to assess whether a patient with a sore throat requires antibiotics

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3
Q

Centor criteria indication for antibiotics

A

3 or more of the criteria are present

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4
Q

4 components of Centor criteria are:

A

1) presence of tonsillar exudate
2) tender anterior cervical lymphadenopathy
3) History of fever
4) Absence of cough

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5
Q

Acute tonsilitis is characterised by: (4)

A
  • fever
  • malaise
  • lymphadenopathy
  • pharyngitis
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6
Q

appearance of tonsils in acute tonsilitis

A

Oedematous + presence of yellow or white pustules

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7
Q

what condition may mimic acute tonsillitis?

A

Infectious mononucleosis

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8
Q

management of bacterial tonsillitis

A

Penicillin type antibiotics§

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9
Q

What is a complication of bacterial tonsilitis

A

Quinsy

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10
Q

Quinsy is …

A

local abscess formation

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11
Q

most common causative bacteria of acute tonsillitis

A

Streptococcus pyogenes

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12
Q

3 complications of tonsillitis

A
  • otitis media
  • quinsy
  • rheumatic fever + glomerulonephritis
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13
Q

cause of infectious mononucleosis

A

Epstein-Barr virus

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14
Q

triad of symptoms in infectious mononucleosis

A
  • sore throat
  • lymphadenopathy
  • pyrexia
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15
Q

management of infectious mononucleosis

A
  • rest + drink plenty of fluids
  • simple analgesia for aches + pains
  • avoid contact sports for 8 weeks after having glandular fever
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16
Q

why are individuals with glandular fever advised to avoid contact sports for 8 weeks after having glandular fever?

A

Reduce risk of splenic rupture

17
Q

examination finding in Quinsy

A

Deviation of uvula to the unaffected side, due to inflammation

Fever

Fetor

18
Q

patient complaints in Quinsy

A
  • Severe sore throat, lateralised to one side
  • Difficulty opening mouth (trismus)
  • Dysphagia
  • Reduced neck mobility
19
Q

Quinsy management

A
  • Needle aspiration of pus (of the peri-tonsillar abscess)
  • IV abx e.g. Benzylpenicillin
  • IV dexamethasone
  • analgesia