Year 2 notes on URTI

Question 1

common col -coryza

Answer 1

viral causes- rihonvirus, cornovirus, RSC
do not give antibiotics
nasal discharge, sneezing, ST

Question 2

rhinosinituts

Answer 2

lining of sinuses get inflamed post viral inflammation
strep pneumonia, h influena, streptococcus mileri, osteomyelitis
facial pain, nasal blockage, reduced smell

imaging, sinus washout
self limiting

Question 3

tonsillitis

Answer 3

inflammation of the tosilisRSV, ifleuenze, adenovirus step poygenes
throat swabs and history

ST dysphagia fever
headache red tonsillar/uvular area
maybe white pus/discharge on tonsil region (exudate)
lymphadenopathy

group A step in childrnee

Question 4

how can you prevent worsening in paeds with tonsillitis

Answer 4

give pencillin to prevent rheumatic fever

Question 5

ebv

Answer 5

kissing disease
teens young adults
do not give ampicillin 
can lead to splenic rupture 
igM and igM paul bennel test 

ST fever lymphadenopathy
asymptomatic

Question 6

cause of candida

Answer 6

usually after abx or inhaled corticosteroids