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Flashcards in Throat Infections Deck (22):
1

Broadly speaking, what pathogens can cause tonsillitis?

Viruses and Bacteria

2

What symptoms suggest a bacterial cause of tonsillitis?

Fever

Exudate

Enlarged lymph nodes

Absent cough

3

Who is bacterial tonsillitis more common in?

Children

4

What type of bacteria typically cause tonsillitis?

Group A β-haemolytic strep

5

What algorithms can be used to decide if antibiotics should be prescribed?

Cantor Criteria

Fever-PAIN score

6

What do these algorithms look for?

Symptoms suggestive of bacterial tonsillitis

7

What antibiotic is typically front line for tonsillitis?

Penicillin V

8

What dose of Penicillin V is used to treat tonsillitis?

500mg QDS for 10 days

9

What antibiotic is used as a second line treatment for bacterial tonsillitis?

Clarithromycin

10

What dose of Clarithromycin is used to treat bacterial tonsillitis?

500mg BD for 5 days

11

How are points awarded using the Fever-PAIN score?

Fever in the last 24 hours (+1)

Purulent exudate (+1)

Attend in under 3 days (+1)

Inflamed tonsils (+1)

No cough or coryza (+1)

12

How should a patient with a Fever-PAIN score of 0-1 be treated?

No antibiotics

13

How should a patient with a Fever-PAIN score of 2-3 be treated?

Consider a 3-day delay before issuing antibiotics

14

How should a patient with a Fever-PAIN score of >4 be treated?

Use immediate antibiotics if severe, if not then issue 48hr delayed prescription

15

What viruses typically cause tonsillitis?

Rhinovirus

Adenovirus

16

What symptoms usually accompany viral tonsillitis?

URTI symptoms e.g. dry cough

17

Where do both forms of tonsillitis appear in the pharynx?

Typically bilaterally

Between the anterior and posterior pharyngeal arches

18

How does quinsy differ in appearance to tonsillitis?

Typically unilateral

Appears anterior to the pharyngeal arches

Uvula can deviate away from the lesion

19

What is another name for quinsy

Peritonsillar abscess

20

What bacteria can cause quinsy?

Strep. Pyogenes

21

How should quinsy be handled in Primary Care?

Immediate referral to ENT for drainage

22

What other symptoms can present with quinsy?

Trismus

Drooling

Dysphagia