Throat Infections Flashcards
What is a quinsy?
Peri-tonsillar abscess
What is the most common bacterial cause of ‘sore throat’?
What complications can this cause?
Strep pyogens - gram positive
Rheumatic fever
Glomerulonephritis
Is a sore throat more likely to be caused by bacteria or virus?
Virus (over 2/3rds)
What is the classic triad of EB virus?
- Fever
- Lymphadenopathy
- Pharyngitis
What can be seen on the soft palate in EB viral infections?
Palatal petectiae
- lil red spots
Describe the rash appearance in EB?
Widespread rash when STARTING ABs
Throat swabs should be carried out routinely in primary care for anyone presenting with sore throat. T/F?
Everyone should be given ABs?
F
Only give ABs if appropriate
What will happen to a patient who is admitted to hospital with strep throat?
What AB is given to treat?
Will be in isolation for 48hrs
Penicillin
If a teen/YA patient with sore throat which takes a long time to resolve + severe lethargy. What should be suspected?
EB Virus
Is absence of a cough more indicative of viral or bacterial infection?
Bacterial
What is the score system which can be used to differentiate between bacterial and viral cause of ‘sore throat’?
describe it and link to AB prescribing
Fever PAIN
Fever (last 24hrs) Purulence Attend rapidly (within 3/7) very Inflammed tonsils No cough/coryza
- more points = more likely to be bacterial/ need ABs
0-1 = no ABs 2/3 = consider ABs/ backup (send prescription - if no improvement in 3-5 days go collect) 4/5 = immediate ABs
What drug can cause neutropenia and hence sore throat are v dangerous?
Carbimazole
What AB should be prescribed if FeverPAIN score 4/5?
phenoxymethylpenicillin/clarithromycin
Patient presents with severe sore throat with a grey white membrane across the pharynx?
Diptheria
What WBC is abnormal in EB virus?
Lymphocytes
