throat ID Flashcards
what causes gingivostomatitis
herpes simplex
symptoms gingivostomatitis
systemic upset, lymph nodes, lethargy // ulcers on lips, buccal mucosa, hard palate
what causes cold sores
usually HSV1 (can be HSV2)
mx gingivostomatitis
oral aciclovir + chlorhexidine mouthwash
mx cold sores
topical aciclovir
diagnosis HSV
swab + PCR
what causes herpangina
enterovirus eg Coxsackievirus
sympoms herpangina
ulcers on soft palate
what causes hand, foot, mouth disease
Coxsackievirus a16 + enterovirus 71
symptoms hand, foot, mouth
mild systemic upset, sore throat, fever // oral ulcers // vesicles on hands and feet
mx hand, foot, mouth
symptomatic // no need to stay off school
symptoms oral candida
white, lacy patches on mucous membranes which wipe away
Risk factors oral candida
diabetes, inhaled steroids, abx, immunosuppressed, smokers
mx oral candida
nyastin or fluconazole
usual mx for sore throat
no swab, paracetamol + ibuprofin
indication for abx sore throat
systemic upset // unilateral tonsillitis // history rheumatic fever // immunocompromised // centor or feverPAIN indicate
centor criteria for bacterial sore throat
need 3 or 4 for abx // pus, lymph nodes, fever, no cough
feverPAIN for bacterial sore throat
need 4 or 5 // fever, pus, attend rapidly (3 days), inflamed tonsils, no cough
most common organism tonsillitis
strep pyogenes
mx tonsilitis
pen V (or clarithryomycin) for 7-10 days
complications tonsillitis
otitis media // quinsy // rheumatic fever // glomerulonephritis
indications tonsillectomy
5 episodes a year // 10 in past 2 years // 9 in past 3 years // disabling // recurrent febrile convulsions // airway obstruction // unresponsive quinsy
mx for all post-tonsillectomy bleeding
refer to ENT
when does primary post-tonsillectomy haemorrhage occur + what mx
6-8 hours –> return to theatre
