URTI Flashcards

1
Q

Indicators of strep throat

A
  • temp >38
  • tender anterior cervical nodes
  • tonsillar exudates
  • age 3-15
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2
Q

Points against strep throat

A
  • rhinorrhoea
  • rash
  • cough
  • age >45
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3
Q

Treatment options for strep throat

A

10 day treatment

  • Penicillin V 500mg BD or
  • erythromycine or
  • clarithromycin

3 day treatment
- azithromycin

Single dose
- Benzathine penicillin

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4
Q

Clinical indicators of EBV tonsillitits

A
  • posterior nodes

- palatal peteichiae

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5
Q

Most common orgnaism causing acute maxillary sinusitis

A

Strep pneumoniae

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6
Q

Diagnosis of acute bacterial sinusitis

A
  • biphasic illness (>7 days)
  • facial tenderness
  • maxillary tooth tenderness
  • purulent discharge
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7
Q

General treatment principle of sinusitis

A

Antibiotics should not be prescribed for mild to moderate sinusitis within the first week of illness

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8
Q

Treatment of acute sinusitis

A

Amoxicillin high dose for 5 days
- if pen allergy:
macrolides in children
moxiflox in adults

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9
Q

Offending organism in otitis media

A

Strep pneumoniae

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10
Q

Treatment for AOM

A
  • amoxil (40-90mg/kg.day)

for 5 days

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