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Flashcards in Throat Conditions Deck (18):
1

Commonest causes of sore throat

Viral - rhinovirus, choronovirus, parainfluenza, adenovirus,

2

What virus causes glandular fever?

Epstein-barr

3

Percentage of sore throats are glandular fever

1%

4

Bacterial causes of sore throat

Group A b-haemolytic strep - Strep. pyogenes

5

Percentage of sore throat caused by Group A strep

15-30% in kids, around 10% adults

6

When might tests be useful in sore throat?

to confirm a suspected: post-strep glomerulonephritis, rheumatic fever

7

What test might be used to confirm a diagnosis in strep throat?

Anti-streptococcal antibody

8

What is the centor criteria used for?

Assessing the likelihood of strep throat and thus the usefulness of strep throat

9

4 parts to centor criteria

1. tonsillar exudate 2. tender ant. cervical lymphadenopathy 3. history of fever 4. absence of cough

10

treatment of viral tonsillitis

Reassure, paracetamol and ibuprofen, diflam spray

11

treatment of bacterial tonsillitis

Penicillin V for 10 days - NOT amoxicillin

12

Why would you not give amoxicillin in bacterial tonsillitis?

Pathogonomic rash is associated with amoxicillin and EBV if EBV is the cause

13

Important differential of sore throat in young child

Epiglottitis - HiB

14

Which patients should have further investigations when presenting with a sore throat?

Those on carbimazole and DMARDs - check the FBCs urgently

15

Common complications of tonsillitis

OM, OME, sinusitis, peritonsillar abscess (quinsy)

16

How is a quinsy best treated?

Antibiotics and aspiration

17

What is scarlet fever?

When exotoxins from strep. pyogenes are deposited in a pin-prick blanching rash over the chest, axillae and behind the ears, 12-48 hours after the sore throat and fever

18

Treatment for scarlet fever

Penicillin V for 10 days