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what is the usual pathogen of parotitis
s. aureus
tx of parotitis
warm compression
salt water mouth rinse
vancomycin
surgery
nsaid for pain
highest risk of pharyngitis
children 5-15 or individuals who work with children
what is Quinsy
peritonsillitis/peritonsillar abscess
how do you distinguish whether there is a viral or bacterial cause for pharyngitis
bacterial pharyngitis has NO COUGH
what is the dx of pharyngitis
RADT
throat swab
s/s of pharyngitis
soar scratchy throat
what is the tx of pharyngitis
DOC is PCN VK (PO) or Benzathine (IM)
what do you give a pt with pharyngitis who has PCN allergy
1st gen cephalosporin
Cephalexin 250 - 500 mg QID PO
what do you give a pt who has pharyngitis and a drug resisitance or failure
2nd or 3rd generation cephalosporin
cefuroxime, cefprozil
cefpodoxime, cefdinir
what do you give a pt who has pharyngitis with a documented resistance for macrolides
clindamycin
what is the duration of therapy for pharyngitis
10 days
what would a pt be given if they have recurrent episodes of pharyngitis
augmentin
cleocin
what are vascular lesions due to
coxsackieviruss
what is the prominent side effect of laryngotracheobronchitis
a cough that sounds like a barking seal
how do you treat laryngotracheobronchitis
abx- only if bacterial etiology
corticosteroids
racemic epinephrine
humidified oxygen
what is ludwigs angina
bilateral involvement of submandibular and sublingual spaces (brawny cellulitis at floor of mouth)
what is lemierre syndrome
suppurative thrombophlebitis of internal jugular vein
what is the cause of lemierre syndrome
fusobacterium necrophorum
what is retropharyngeal space infection
contigous spread from lateral pharyngeal space or infected retropharyngeal lymph node
what are the deep fascial space infections of the head and neck
ludwigs angina
lemierre syndrom
retropharyngeal space infection
which is not a common way to spread the rhinovirus
kissing
pharyngeal erthema is more common with which virus
adenovirus
what is the cause of SARS
previously recognized coronavirus
early radigroaphic findings of SARS
peripheral/pleural based opacity
advanced radiographic findings of SARS
widespread opacification tending to affect the lower zones and often bilateral
SARS pleural effusion radiographic findings
no lymphadenopathy and cavitation seen
s/s of sinusitis in adults
nasal discharge
congestion
HA
sneezing
halitosis
s/s of sinusitis in children
cough
nasal discharge
fever
facial swelling and pain
primary pathogen for sinusitis
virus
most common bacteria for sinusitis
s. aureus
dx of sinusitis
MRI
CT
x-ray
aspiration
cultures
when is antimicrobial therapy used in pts with sinusitis
moderate to severe (> 7 days)
DOC for acute sinusitis tx
amoxicillin 500 TID PO
which drugs are used for pts with acute sinusitis and have an anaphylactic rxn to PCN
macrolide
bactrim
doxycycline
resp FQN
how is a pt with acute sinusitis treated who has high suspicion of drug-resistance (s. pnemo)
HD amoxicillin 1 g TID
clindamycin 300 mg TID-QID
how is a pt with acute sinusitis treated who has had tx failure or recent abx therapy in past 4-6 weeks
augmentin
cefpodoxime
resp FQN
what is the duration of therapy for acute sinusitis
10-14 days
how long must s/s last for chronic sinusitis
> 1 month
tx for chronic sinusitis
antibiotics are usually not effective;
augmentin x 21 days
what are the pathogens for acute localized otitis externa
s. aureus
s. epidermidis
s. pyogenes
what is the pathogen most common for acute diffuse otitis externa
p. aeruginosa
how is otitis externa tx
topical quinolones
what is the main s/s of otitis media
discolored bulging thickened and immobile tympanic membrane
most common pathogen for otitis media
s. pneumoniae
what is the duration of tx for otitis media
10 days
what is the DOC for otitis media
HD amoxicillin (80-90mg/kg/day)
what can a pt with otitis media be given if they have a PCN allergy
beta-lactamase stable cephalosporin
cefuroxime
cefpodoxime
cefdinir
what is the second line DOC for tx pts with otitis media who have failed on amoxil 2-3 days after initiation
augmentin
ceftriaxone, x 3 days
clindamycin
bactrim x 10 days
s/s of epiglottitis
fever
stridor
respiratory distress
drooling
dysphagia
dysphonia
DOC for the tx of epiglotitis
2nd or 3rd generation cephalosporin
cefotaxime
ceftriaxone
or
Unasyn
bactrim
what are the other tx for epiglotitis
maintain airway
corticosteroids
tracheostomy
Author
alvo2234
ID
246619
Card Set
URTI
Description
PT IV exam
Updated
11/13/2013, 2:44:23 AM
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