A sore throat with stridor or respiratory distress is an indication for what?
Why shouldn't you examine an inflamed throat?
Could make inflammation (i.e epiglottitis) worse and constrict throat
What throat infections cause pain at the back of the mouth?
What tends to cause throat infections?
In which groups do acute throat infections usually occur?
Younger people (< 25 years)
Acute throat infections are often complicated by which diseases?
What is the course of most acute throat infections?
Resolve within 1 week - self-limiting
Should acute throat infections be swabbed?
What should you suspect if a sore throat and lethargy last more than 2 weeks in a young person?
If someone has a persistent sore throat and a neck mass, what should you suspect?
Which score is used to predict which acute throat infection patients would actually benefit from antibiotics?
Centor clinical prediction score
The vast majority of sore throats (do / do not) require antibiotics.
What are the most common bacterial causes of sore throat?
gram +ve chains
How would a Strep. pyogenes throat infection be treated?
What are rare complications of GAS throat infections causing:
a) fever, arthritis
b) acute renal failure?
a) Rheumatic fever
Which organism produces a grey white membrane across the throat which is an exotoxin?
What is the disease called?
What is the classical feature of diptheria?
Is diptheria common in the UK?
What sort of vaccine is given for diptheria?
How is diptheria treated?
What causes oral thrush?
What does oral thrush look like?
White patches on inflamed membranes in throat and mouth
How is oral thrush treated?
What is acute otitis media?
What is the main symptom?
Middle ear infection
What commonly causes otitis media?
Most are VIRAL
Bacterial - Strep. pneumoniae, H. influenzae, Strep. pyogenes
In which situation only can you obtain a swab of pus in otitis media?
Perforation of tympanic membrane
which is obviously really bad
How is otitis media treated?
Bacterial: amoxicillin > erythromycin
What is acute sinusitis?
Mild discomfort over sinuses often seen in URTI
When is acute sinusitis treated?
Secondary bacterial infection
How is secondary bacterial sinusitis treated?
Doxycyline BUT NOT IN CHILDREN