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HNO > 1. Tonsillitis > Flashcards

1. Tonsillitis Flashcards

(32 cards)

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1
Q

(Tonsillitis)

Definitionen (3)

A
  • Tonsillitis
  • Pharyngitis
  • Tonsillopharyngitis
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2
Q

(Tonsillitis)

Tonsillitis: Definition

A

Entzündung der Tonsillen

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3
Q

(Tonsillitis)

Pharyngitis: Definition

A

Entzündung des Rachenraumes ohne Entzündung der Tonsillen

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4
Q

(Tonsillitis)

Tonsillopharyngitis: Definition

A

Entzündung des Rachenraums mit Entzündung der Tonsillen

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5
Q

(Tonsillitis)

Epidemiologie: Altersgipfel

A

Schulkinder

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6
Q

(Tonsillitis)

Ätiologien (2)

A
  1. viral
  2. bakteriell
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7
Q

(Tonsillitis)

häufigster bakterieller Erreger

A

Streptococcus pyogenes

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8
Q

(Tonsillitis)

Streptococcus pyogenes: Klasse

A

β-hämolysierende Streptokokken Gruppe A

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9
Q

(Tonsillitis)

Formen (3)

A
  • catarrhalis
  • follicularis
  • lacunaris
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10
Q

(Tonsillitis)

Angina catarrhalis: Charakteristik

A

ohne Beläge

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11
Q

(Tonsillitis)

Angina follicularis: Charakteristik

A

mit kleinen Belägen

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12
Q

(Tonsillitis)

Angina lacunaris: Charakteristik

A

mit größeren Belägen

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13
Q

(Tonsillitis)

Sonderform

A

Angina-Plaut-Vincenti

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14
Q

(Tonsillitis)

Angina Plaut-Vincenti: Erreger (2)

A

Mischinfektion mit

  • Treponema vincentii
  • Fusobacterium nucleatum
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15
Q

(Tonsillitis)

Angina Plaut-Vincenti: Klinik (2)

A
  • einseitige Ulzera
  • Foetor ex ore
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16
Q

(Tonsillitis)

Differenzialdiagnose

17
Q

(Tonsillitis)

Herpangina: Erreger

18
Q

(Tonsillitis)

Herpangina: Klinik

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A

herpetiforme Bläschen

19
Q

(Tonsillitis)

Centor-Score: Zweck

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A

Beurteilung der Wahrscheinlichkeit einer β-hämolysierende Strep. im Rachenabstrich

20
Q

(Tonsillitis)

Score

21
Q

(Tonsillitis)

Centor-Score: Parameter (4)

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A
  • (1) Fehlen von Husten
  • (1) Fieber in der Anamnese (> 38ºC)
  • (1) geschwollene vordere Halslymphknoten
  • (1) Tonsillenexsudat
22
Q

(Tonsillitis)

Centor-Score: Auswertung (5)

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A
  • 0: bis 2,5%
  • 1: bis 7%
  • 2: bis 15%
  • 3: bis 35%
  • 4: bis 60%
23
Q

(Tonsillitis)

Diagnosesicherung

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A

Rachenabstrich

24
Q

(Tonsillitis)

Rachenabstrich: Indikation

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A

bei Centor-Score ≥ 3

25
(Tonsillitis) Rachenabstrich: Verfahren
- Streptokokken-Schnelltest UND - bakteriologische Kultur
26
(Tonsillitis) medikamentöse bei allen Patienten
- NSAR
26
(Tonsillitis) Therapiemöglichkeiten (2)
- medikamentöse - operative
27
(Tonsillitis) Antibiotika der Wahl bei Streptokokkeninfektion
Penicillin V
28
(Tonsillitis) OP-Verfahren der Wahl
TE
29
(Tonsillitis) TE
Tonsillektomie
30
31
(Tonsillitis) TE: Hauptkomplikation
Nachblutungen

HNO (4 decks)

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