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Year 3 - GP Block > Throat Infections > Flashcards

Throat Infections Flashcards

1
Q

Broadly speaking, what pathogens can cause tonsillitis?

A

Viruses and Bacteria

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2
Q

What symptoms suggest a bacterial cause of tonsillitis?

A

Fever

Exudate

Enlarged lymph nodes

Absent cough

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3
Q

Who is bacterial tonsillitis more common in?

A

Children

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4
Q

What type of bacteria typically cause tonsillitis?

A

Group A β-haemolytic strep

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5
Q

What algorithms can be used to decide if antibiotics should be prescribed?

A

Cantor Criteria

Fever-PAIN score

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6
Q

What do these algorithms look for?

A

Symptoms suggestive of bacterial tonsillitis

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7
Q

What antibiotic is typically front line for tonsillitis?

A

Penicillin V

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8
Q

What dose of Penicillin V is used to treat tonsillitis?

A

500mg QDS for 10 days

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9
Q

What antibiotic is used as a second line treatment for bacterial tonsillitis?

A

Clarithromycin

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10
Q

What dose of Clarithromycin is used to treat bacterial tonsillitis?

A

500mg BD for 5 days

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11
Q

How are points awarded using the Fever-PAIN score?

A

Fever in the last 24 hours (+1)

Purulent exudate (+1)

Attend in under 3 days (+1)

Inflamed tonsils (+1)

No cough or coryza (+1)

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12
Q

How should a patient with a Fever-PAIN score of 0-1 be treated?

A

No antibiotics

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13
Q

How should a patient with a Fever-PAIN score of 2-3 be treated?

A

Consider a 3-day delay before issuing antibiotics

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14
Q

How should a patient with a Fever-PAIN score of >4 be treated?

A

Use immediate antibiotics if severe, if not then issue 48hr delayed prescription

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15
Q

What viruses typically cause tonsillitis?

A

Rhinovirus

Adenovirus

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16
Q

What symptoms usually accompany viral tonsillitis?

A

URTI symptoms e.g. dry cough

17
Q

Where do both forms of tonsillitis appear in the pharynx?

A

Typically bilaterally

Between the anterior and posterior pharyngeal arches

18
Q

How does quinsy differ in appearance to tonsillitis?

A

Typically unilateral

Appears anterior to the pharyngeal arches

Uvula can deviate away from the lesion

19
Q

What is another name for quinsy

A

Peritonsillar abscess

20
Q

What bacteria can cause quinsy?

A

Strep. Pyogenes

21
Q

How should quinsy be handled in Primary Care?

A

Immediate referral to ENT for drainage

22
Q

What other symptoms can present with quinsy?

A

Trismus

Drooling

Dysphagia

Year 3 - GP Block (5 decks)

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