EENT

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Author:
Wildmtnchild
ID:
160874
Filename:
EENT
Updated:
2012-07-03 16:33:50
Tags:
Eye ear nose throat disorders
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Description:
Common EENT disorders.
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  1. What are the most likely causative pathogens in adult ABRS (acute bacterial rhino-sinusitis)?
  2. What is S. pneumoniae?
    • Most common bacterial pathogen in ABRS, AOM, CAP. Rare (10%) spontaneous resolution in AOM. Treatment target in AOM. It is a gram-positive diplococci.
    • =>25% drug-resistant. DRSP risk w/ recent antimicrobial use (within 4-6 weeks), exposure to, or being a child in day care, advancing age. 
  3. What is H. influenzae?
    • Common pathogen in ABRS, AOM, CAP, particularly in recurrent infection, tobacco users.
    • 50% spontaneous resolution in AOM.
    • Gram-negative bacillus.
    • =>30% penicillin-resistant via beta-lactamase production. 
  4. What is M. catarrhalis?
    • Less common pathogen in ABRS, AOM, rare cause of CAP.
    • About 90% spontaneous resolution in AOM.
    • Gram-negative coccus.
    • =>90% penicillin-resistant via beta-lactamase production. 
  5. What are the diagnostic criteria for adult ABRS?
    Nasal drainage, nasal congestion, facial pain/pressure, postnasal drip, hyposmia/anosmia, fever, cough, fatigue, maxillary dental pain, ear fullness.

    S/sx of URI => 7-10d or worse after 5-7d. 

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