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Bugs and Drugs HEENT

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Criteria for diagnosing GAS?   No cough Tender cervical LN Erythematous Exudates Fever >38  
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Complications of GAS tonsillopharyngitis   bactremia peritonsillar abscess meningitis Rheumatic fever GN reactive arthritis  
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When to treat AOM?   <6mo: ALWAYS TREAT >6 mo: abx if severe, complicated (perf, unwell) >24 months: observe, tx if unwell  
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Diagnosis of AOM   1) TM Effusion 2) TM Inflammation 3) Acutely unwell  
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Treatment regimen AOM?   Simple: 5 days Amoxil Complicated: 10 d Amoxil 2nd line: 2nd gen cephalosporin/macrolide  
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Tx meningitis   Full septic workup +/- CT IV vanco/Cefotax or ceftriaxone  
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Complicating factors for AOM   Daycare, recent <3 mo, perforation, unwell  
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Dental abscess treatment   IV Cefazolin/Flagyl (anaerobes and GPB) Dental referral  
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Diptheria treatment   ABCS, antitoxin  
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Diptheria physical exam   psuedomembrane sore throat fever  
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Sinusitis treatment   Amoxil 10 d  
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Diptheria complications   cardiac arrythmias, myocarditis, nerve palsies  
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Orbital cellulitiis tx   Cefazolin/Keflex  
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photophobia, chemosis, pain on EOM,   periorbital cellulitis  
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Treatment orbital cellulitis   Admit, CBC, blood culture, CT head, Vanco/Ceftriaxone ENT/optho consult  
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Viral prodrome Fever Generalized LN (vs localized) Hepatosplenomegaly Sore throat Tonsillar exudates Diagnosis?   Mononucleosis (EBV or CMV)  
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Lab findings for mono?   Atypical lymphocytes (Downey cells) anemia, thrombocytopenia, elevated liver enzymes  
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