Adult - URI, Nose, Throat Flashcards Preview

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Flashcards in Adult - URI, Nose, Throat Deck (17):
1

What are the two differentiating symptoms of the common cold from other illnesses or allergies?

  • watery rhinorrhea
  • erythematous nasal mucosa

2

Generally, is fever associated with the common cold?

No

3

What is another name for the common cold?

viral rhinitis

4

What is a good indicator that a pharyngitis is viral in nature?

when it is accompanied by rhinorrhea

5

What are 3 indicators that a pharyngitis is bacterial in nature?

  • anterior cervical adenopathy
  • fever
  • macropapular rash

6

Diagnostics to consider for pharyngitis?

  • rapid strep
  • monospot
  • CBC

7

What is the hallmark onset of influenza?

abrupt onset of symptoms

8

What does a neuraminidase inhibitor do?

reduce duration of influenza by about 2 days

examples:

zanamivir (Relenza) - inahler

oseltamivir (Tamiflu) - oral

 

9

What is the causitive organism in mono?

Epstein-Barr virus

10

What is the incubation period for mono?

1 - 2 months 

11

What are the recommendations for the influeza vaccine?

Every person

Every year

Starting at 6 months of age

12

What are the five defining characteristics of mono?

  • extreme malaise
  • severe pharyngitis
  • white tonsillar exudates
  • posterior cervical adenopathy
  • splenomegaly sometimes 

13

Diagnostic test for mono?

monospot

 

14

What does a CBC with differential reveal in mono?

increased WBC

with relative lymphocytosis and neutropenia

a "shift to the right"

15

Why might a steroid taper be used in mono?

if tonsils are severely enlarged 

16

What symptoms indicate a bacterial cause in sinusitis?

along with other sinusitis symptoms

fever

purulent drainage

17

If bacterial, what antibiotics are used for adults with sinusitis?

amoxicillin/clavulanate (Augmentin)

clarithromycin (Biaxin)