Bugs and Drugs HEENT
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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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