module 3 peds pharyngitis, tonsillitis, tonsillopharyngitis

Question 1

pharyngitis

Answer 1

inflammation of the mucosa lining the structures of the throat
- tonsils
- pharynx
- uvula
- soft palate
- nasopharynx

Question 2

causes of pharyngitis

Answer 2

infectious agents
non-infectious agents
- environmental
- allergic
- referred pain
- oncological causes

Question 3

nasopharyngitis

Answer 3

pharyngitis with nasal s/s

Question 4

pharyngitis/tonsillopharyngitis

Answer 4

no nasal symptoms

Question 5

viruses that cause pharyngitis

Answer 5

adenovirus
epstein-barr virus
parainfluenza
influenza
HSV
cytomegalovirus
enterovirus
HIV

Question 6

viral infection s/s

Answer 6

hoarseness
cough
coryza
conjunctivitis
diarrhea
rhinitis
stomatitis
stridor
nonspecific rash

Question 7

bacterial causes of pharyngitis

Answer 7

GABHS
group C,G streptococci
M, C pneumoniae
A. haemolyticum

Question 8

A. haemlyticum s/s

Answer 8

pharyngitis
fine, scarlatiniform rash
pruritus
fever
cough
mild or marked pharyngeal erythema
- with or without exudate/cervical adenopathy

Question 9

pharyngitis s/s

Answer 9

pain
myalgia
arthralgia
fever
sore throat
dysphagia

Question 10

GABHS s/s

Answer 10

usually 5-13 y/o
acute onset w/out nasal s/s
tender lymph nodes
arthralgia
myalgia
headache
moderate-high fever
malaise
prominent ST
dysphagia
N/V
abdominal discomfort

Question 11

EBV physical exam

Answer 11

exudate on tonsils
soft palate petechiae
cervical lymphadenopathy

Question 12

adenovirus s/s

Answer 12

pharyngoconjunctival fever
- fever
- pharyngitis
- rhinitis
- cervical lymphadenopathy
- bulbar and palpebral follicular conjunctivitis

Question 13

enterovirus s/s

Answer 13

vesicles or ulcers on tonsillar pillars and posterior fauces
coryza
vomiting
diarrhea

Question 14

Herpesvirus s/s

Answer 14

gum erythema
small erupted vesicles in mouth
marked adenopathy

Question 15

parainfluenza and RSV s/s

Answer 15

lower resp. tract disease
- croup
- pneumonia
- bronchiolitis
stridor
rales
wheezing

Question 16

influenza s/s

Answer 16

cough
fever
multiple systemic compliants

Question 17

GABHS physical exam

Answer 17

• petechiae on soft palate and pharynx
• swollen beefy-red uvula
• red enlarged tonsillopharyngeal tissue
• tonsillopharyngeal exudate: yellow, blood-tinged
• tender, enlarged anterior cervical lymph nodes
• bad breath
• stigmata of scarlet fever
  -> scarlatiniform rash, strawberry tongue, circumoral pallor

Question 18

Testing for GABHS

Answer 18

> 3 years old with pharyngitis

Question 19

management for viral infections

Answer 19

supportive care

Question 20

GABHS managements

Answer 20

antibiotics when RADT/culture is positive
- must be initiated w/in 9 days to prevent rheumatic fever
- PCN
supportive care

Question 21

GABHS return to school

Answer 21

afebrile and have been on abx for 12-24 hours

Question 22

treating of carrier strep circumstances

Answer 22

• outbreak in a closed community
• family or personal hx of. rheumatic fever
• ping pong spread in family members for several weeks
• tonsillectomy is being considered
• local outbreak of rheumatic fever or invasive group A strep

Question 23

nonsuppurative complications of strep pharyngitis

Answer 23

rheumatic fever
poststreptococcal reactive arthritis
sydenham chorea
acute glomerulonephritis

Question 24

suppurative complications of strep pharyngitis

Answer 24

cervical adenitis
rhinosinusitis
otitis media
pneumonia
mastoiditis
retropharyngeal or peritonsillar abscess