Clinical- Group A Strep Flashcards Preview

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Flashcards in Clinical- Group A Strep Deck (28):
1

cause of pharyngitis in school age kids

group A strep

2

cause of pharyngitis in preschool kids

staph aureus

3

complications of untreated strep

otitis media
sinusitis
abscesses
RF
glomerulonephritis

4

scarlett fever

group A strep + sandpaper rash

5

strep is spread

contact with infected persons
NOT fomites or animals

6

who does not get RF

young kids- lack immune response to it

7

incubation period for strep

2-5 days

8

can carriers spread it?

unknown- probably

9

1+ tonsils

sorta showing

10

2+ tonsils

showing

11

3+ tonsils

showing a lot, not touching

12

4+ tonsils

touching

13

DDx for fever, abdominal pain, and vomitting in child

gastroenteritis
pneumonia
GAS

14

signs and symptoms of GAS pharyngitis

fever, abdominal pain, vomitting
red, enlarged tonsils
palatal petichiae
exudative tonsils
lack of cough, coryzea, congestion, URI symptoms, diarrhea

15

confirmatory cultures

rapid antigen swab
culture

16

symptoms GAS

fever, abdominal pain, vomitting
red, enlarged tonsils
palatal petichiae
exudative tonsils

17

GAS treatment

penicillin or macrolides

18

main reason to great GAS

prevent rheumatic fever

19

severe invasive strep syndrome

fever, erythroderma, multiple organ damage, positive blood cultures

20

scarlet fever symptoms

fever
enlarged, red tonsils
strawberry tongue
circumoral pallor
blanching sandpaper rash
pastia lines

21

cause of scarlet fever

erythrogenic toxin release

22

impetigo

benign highly contagious skin infection

23

ARF symptoms

heart murmur
hepatomegaly
blanching red rash
elevated ESR, CRP
prlonged PR interval
culture + GAS

24

when can ARF happen

10-42 days post GAS infection

25

post strep glomerulonephritis

glomerular vessel inflammmation- decreases kidney filtering

26

JONES criteria

joint pain
heart issues
nodules
erythma marginatum rash
syndenham's chorea

27

primary prophylaxis

pen to prevent ARF

28

secondary prophylaxis

life long antibiotics to prevent recurrence or rheumatic heart disease or worsening