URIs Flashcards

0
Q

Common cold physical diagnosis findings

A

nasal mucosa edema, nasal congestion, pharyngeal edema, lungs clear
possible lymphadenopathy or conjunctival injection

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1
Q

days 1, 2, 3 of a cold

A

Sore throat
Nasal symptoms
Cough

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2
Q

flue physical diagnosis findings (4)

A

hot, dry skin; flushing, PND, mild cervical LND

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3
Q

Neuraminidase inhibitor mechanism

A

decrease viral shedding and replication

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4
Q

sudden onset of sore throat, tonsillar exudate, tender cervical adenitis, fever, no cough

A

GABHS

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5
Q

GABHS tx (2)

A

Penicillin V 500 mg PO BID x 10 days

Amoxicillin 500 mg PO BID x 10 days

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6
Q

GABHS complications

A

acute rheumatic fever

acute glomerulonephritis

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7
Q

severe sore throat, fever, “hot potato” voice, drooling, trismus

A

Peritonsillar abscess

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8
Q

peritonsillar abscess etiology

A

Polymicrobial but mostly strep pyogenes

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9
Q

peritonsillar abscess physical findings (3)

A

uvula deviates to opposite side
bulging, fullness of the soft palate
cervical LAD

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10
Q

nasal congestion/obstruction, purulent nasal discharge, facial pain/pressure

A

acute rhinosinusitis

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11
Q

acute rhinosinusitis supportive care (6)

A
analgesics
saline irrigation
mucolytics
oral decongestants
topical decongestants
topical glucocorticoids
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12
Q

Purulent mucus or edema in middle meatus, polyps on Physical Exam
w/ facial pain/pressure
is?

A

Rhinosinusitis

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13
Q

mono incubation time?

A

4-6 weeks

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14
Q

1-2 week prodrome of fever, malaise, myalgia

A

Mono

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15
Q

fever, sore throat, lymphadenopathy of posterior cervical chain, splenomegaly

A

Mono

16
Q

posterior cervical chain lymphadenopathy indicates?

A

Mono

17
Q

cervical lymphadenopathy indicates?

A

Strep

18
Q

which antibody results indicate acute mono?

A

Positive IgM with Negative EB nuclear antigen

19
Q

Mono tx (3)

A

supportive
corticosteroids for airway obstruction
sports restrictions due to splenomegaly