tonsilitis Flashcards
1
Q
most common causes
A
viral
strep pyogenes (group A strep) strep pneumoniea
H influenzae
moraxella catarrhalis
staph a
2
Q
Waldeyer’s tonsillar ring
A
adenooids
tubual
palantine
lingual
3
Q
features
A
sore throat fever pain on swallowing red, enlarged, inflamed tonsils +/- exudate anterior cervical lymphadenopathy
4
Q
Centor Criteria
A
fever > 38ºC
tonsilar exudates
absence of cough
lymphadenopathy
5
Q
centor score indicating antibiotic treatment
A
3+
40-60% probability bacterial tonsilitis
6
Q
FeverPAIN score
A
fever pus on tonsils attended within 3 days symptoms onset inflamed tonsils no cough/coryza
7
Q
FeverPAIN score indicating antibiotic treatment
A
4+
62-65% probability bacterial tonsilitis
8
Q
when to consider hosp admission
A
immunocompromised systemically unwell dehydrated stridor resp distress evidence peritonsilar abscess or cellulitis
9
Q
Mx - viral
A
educate
safety net - return pain not settling 3 days or fever >38.3ºC
simple analgesia
10
Q
Mx - antibiotics
A
centor score 3+
FeverPAIN 4+
penicillin V 10 days
clarithromycin if penicillin allergic
11
Q
complications
A
peritonsilar abscess otitis media scarlet fever rheumatic fever PSGN reactive arthritis
