URTIs

Question 1

What is the Fever pain index used for?

Answer 1

Likelihood of strep positive in acute sore throats

Question 2

What is the parameters for fever in fever pain index?

Answer 2

Temp over 38.5 degrees
History of fever

Question 3

What does PAIN of fever pain index stand for?

Answer 3

Purulence
Attend rapdily
inflamed tonsils - severe
No cough or coryza

Question 4

What is the threshold score for fever PAIN index? What give?

Answer 4

If over 4 points give penicillin
2-3 - delayed perscription

Question 5

CURB 65

Answer 5

Confusion
urea > 7 mmol/l
Resp rate = 30 +
BP <90mmHg /60 diastolic
>65 years

Question 6

Symptoms URTIs

Answer 6

Last 7 days
Cough 14 days
Cough, headache, sore throat, nasal congestion and low grade fever
Includes tonsilitis, laryngitiis, pharyngitis, sinisitis

Question 7

When do you manage viral URTIS? what do you give?

Answer 7

Immunocsupressed - oral oseltamivir for 5 days

Question 8

Investigations for URTIs

Answer 8

Nasal swab
Reverse PCR within 4-6 hours

Question 9

What is Quinsy, what can cause it

Answer 9

• Quinsy - peritonsiliar abscess, S.pyogenes, S. aureus, H. influenzae

Question 10

What use to decide if perscribe antibiotics

Answer 10

feverPAIN index - score over 5 give antibiotic

Question 11

When to refer with throat pain

Answer 11

Abscess
Cant eat or drink
Immunosuppressed
Epiglottitis - h influenzae
Stridor - red flag