week 2- throat

Question 1

throat conditions

Answer 1

acute pharyngitis, viral pharyngitis, bacterial pharyngitis, diptheria, tonsilitis, peritonsilar absess, arapharyngeal absess, retropharyngeal abscess, pharnyx infection, velopharyngeal insufficency, malignancies in pharynx

Question 2

what type of pharyngitis is very common

Answer 2

viral, 90 percent of the time

Question 3

what are two comon viral infectons that cause pharyngitis

Answer 3

adenovirus and epstin barr virus, mono)

Question 4

adenovirus pharyngitis

Answer 4

throat is NOT red,no fever, painful, runny nose, modest node enlargment, 24-48 hour to get sore

Question 5

Infectious mono

Answer 5

No fever, exudative tonsilitis, kissing tonsils, signifigant node swelling, splenomegaly, fatigue, weight loss,

Question 6

what labs to detect mono?

Answer 6

CBC that show abnormal lymphocytes, and monospot

Question 7

what is different between bacterial and viral pharygitis

Answer 7

bacterial onset is faster, fever, redder throat, and larger nodes

Question 8

what is intersting about viral pharyngitis throat?

Answer 8

cobbelstoning

Question 9

what does bacterial pharyngitis look like

Answer 9

beefy red, unilateral swelling, quick onset, high temp, headache,

Question 10

what causes most bacterial pharyngitis?

Answer 10

Group A streptococus

Question 11

what questions to determine GAS for bacterial pharyngitis?

Answer 11

Modified center criteria, absence of cough, tenter ant cervical, exudate gram stain culture.

Question 12

what does rapid strep test do?

Answer 12

positive rules in strep, a negative doesn not rule out strep.

Question 13

what is modified center criteria good for

Answer 13

terrible at ruling in, but good at ruling out strep.

Question 14

what is dipthera caused by

Answer 14

corneybacterium mostly in other countries.

Question 15

what does diptheria look like?

Answer 15

dirty grey speudomembrain, dyspenea, low fever, nausea and vomiting.

Question 16

how is diptheria diagnosed?

Answer 16

gram stain.

Question 17

what is complication of diptheria

Answer 17

myocarditis, NS toxicity

Question 18

what is tonsilitis

Answer 18

acute inflammation of palatine tonsils

Question 19

SSX of tonsilitis

Answer 19

sudden onset, hight fever, malise, vomiting, bad breath, enlarged tonsil, exudate

Question 20

what causes tonsilitis

Answer 20

Bacterial, group A strep, viral, EBV , adenovirus

Question 21

what are complications of tonsilitis?

Answer 21

peritonsilar absess, tonsillotolithis, hypertrophy of tonsils

Question 22

what is peritonsilar absess?

Answer 22

absess between tonsil and pharyngeal constrictor muscle.

Question 23

complications of strep

Answer 23

Pandas pediatric autoimmune neuropsychiatric disorder associated with strep, Rheumatic fever, toxic shock, glomerulonephritis

Question 24

signs of peritonsilar absess?

Answer 24

worsening unilateral sorness that can be seen from INSIDE, fever, headache, high fever, limit mouth opeing

Question 25

what is parapharyngeal absess

Answer 25

absess lateral to superior constrictor muscle and close to corodid

Question 26

sign of parapharyngeal absess?

Answer 26

seen from OUTSIDE, swolen anterior triangle ofneck

Question 27

what should we do if we see parapharyngeal absess

Answer 27

I don’t know, its super serious, refer?

Question 28

what should we do if we see a retropharyngeal abscess

Answer 28

refer to ER, medical emergency, including airway complcations.

Question 29

whhat is retropharyngeal abscess

Answer 29

infection of deep space in neck., infection spreads from nose ,ears, sinus etc.

Question 30

SSX or retropharyngeal abscess

Answer 30

pain, sore throat, pain on swallowing, jaw stiffness, lump in throat, chills, fever,

Question 31

chronic irritatio nof pharynx causes what

Answer 31

cobbelstoning

Question 32

what is velopharyngeal insufficiency?

Answer 32

incomplete closure of sphincter between oro an nasal pharyns, inpaired speech andeating.

Question 33

what is the most common malignancy in the pharynx?

Answer 33

SCC

Question 34

what does pharynx malignancy look like

Answer 34

mass in neck, pain by abnormal throat sticking, tumor is red smooth and can look similar to erythoplakia

Question 35

what is hoarsness

Answer 35

structural changes to vocal cords that impair ability to vibrate.

Question 36

why would child be horse

Answer 36

vocal abuse

Question 37

laryngitis is what

Answer 37

hoarse voice or loss of voice because of vocal cord irritation.

Question 38

what can cause laryngitis

Answer 38

infection, inflammation, coughing

Question 39

what to do with epiglottitis

Answer 39

medical emergency, don?t examine

Question 40

what is SSX of epiglottitis

Answer 40

fever, difficulty swallowing ,drooling, appers very ill and anxious.

Question 41

who does epiglottitis mostly effect

Answer 41

2-5 yo

Question 42

DXX for epiglottitis

Answer 42

group, peritonsilar abscess, retropharyngeal absess.

Question 43

how would you know it was eppiglottitis not peritonsilar absess?

Answer 43

peritonsilar is after tonsilitis, rare in infants, droolin in eppi

Question 44

how would you know it was epiglottitis not retropharangeal absess?

Answer 44

sore thhroat, jaw stiffness, for retropharangeal, still super serious!

Question 45

vocal cord polyp

Answer 45

horseness, vocal abuse, allergies, irritants diagnosed by visualization and biopsy

Question 46

what causes vocal cord contact ulcers

Answer 46

gastric reflux

Question 47

what is the most common cancer in head and neck?

Answer 47

layrngeal scc

Question 48

Lump in necks in kids?

Answer 48

tonsilitis, TB, brachial cysts

Question 49

lump in adult necks

Answer 49

inflamatory or neoplastic nodules.