Strep Pharyngitis Flashcards Preview

ICM Infectious Disease > Strep Pharyngitis > Flashcards

Flashcards in Strep Pharyngitis Deck (22):
1

What is Strep?

Infection of pharynx or tonsils with Group A beta hemolytic strep

2

Most common age of Strep?

5 to 15, can happen at any age

3

How is strep transmitted?

Direct contact/droplet

4

Incubation period of strep?

2-5 days

5

Something in patient history that is freqently missed that is a clue?

Headaches

6

What is strep sometimes confused with?

Viral pharygitis
Coxsackie
Herpes

7

How do you diagnose strep?

Rapid strep test

8

What is rapid strep test based on?

Nitrous acid extraction of Group A carbohydrate antigen bacteria

9

Main treatment for strep?

Penicillin

10

In penicillin senstiive people what do you use?

Erythromycin

11

How high is the carrier state for strep?

10-20%

12

What do you use for carrier state?

Benzathing penicillin G

13

How do you get scarlet fever?

Erythrogenic exotoxin in strep organism

14

Incubation period for scarlet fever?

1-7 days

15

In scarlet fever where does rash start?

First in axillae, groin, neck. Then face, trunk, hands, and feet

16

How do you treat scarlet fever?

Penicillin for 10 days

17

Etiology of rheumatic fever?

Group A beta hemolytic strep pharyngitis

18

How to prevent Strep?

Oral daily penicillin
Bicillin injection 1x per month

19

What causes Glomerulonephritis?

group A beta hemolytic strop throat or skin infection 1 to 2 weeks preceding development

20

How do you diagnose Glomerulonephritis?

Hematuria (RBC casts)
Abdominal/flank pain

21

Signs of renal failure?

Edema
Congestive heart failure
Encephalopathy

22

Very rare problem following GABHS pharyngitis or tonsillitis?

Toxic Shock Syndrome