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ID Exam 3
URTI
54
Agriculture
6th Grade
11/06/2012

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Term
definition of pharyngitis
Definition
inflammation of the pahyrnx, tonsils, etc
Term
age most common for pharyngitis
Definition
5-15
Term
what months does pharyngitis occur the most?
Definition
spring and winter
Term
what predisposes people for URTIs
Definition
- over crowding, cross contamination
Term
what is the common bacteria of pharyngitis?
more common in children or adults?
Definition
Group A strep (pyogenes)
children
Term
what is most common virus of phayrngitis
what are some others
Definition
rhinovirus
adenovirus, herpes, coronovirus, influ
Term
what makes up 30% of the infections of pharyngitis
Definition
unknown
Term
MOA of pharyngitis for viruses
Definition
inflammatory mediators like bradykinin for pain.
Term
MOA of pharyngitis for bacteria
Definition
produce toxins
Term
symptoms of pharyngitis are _
Definition
ubiqituous
Term
what are some symptoms of pharyngitis
Definition
sore throat
beet red uvula
fever
rash
Term
if have rash on trunk this shows
if on the distal extremities?
Definition
strep infection
acronobacterium
Term
what test can be done for pharyngitis to see if bacterial infection
Definition
rapid strep test
Term
what is the gold standard for diagnosis of pharyngitis
Definition
throat culture
Term
complications of strep infection
Definition
rheumatic fever
scarlett fever
abscess
septicemia
Term
most cases of sinusitis are due to?
Definition
infection
Term
why are the sinuses normally sterile?
Definition
elevated NO and mucocillary clearence
Term
wh is the diagnostic challenge for sinusits?
Definition
no noninvansive tests
Term
common cold is caused by
Definition
viral rhinosinusitis
Term
what sinuses are abnormal in the CT scan of common cold
Definition
ethmoid
maxillary
Term
difference in bacterial vs viral sinusitis
what is the same?
Definition
viral- 5-7 days
bacterial: 14 days
symptoms
Term
symptoms of sinusitis
Definition
rhinnorhea, pressure headache, cough
Term
most common sinusitis infections in BOTH children and adults?
what is more in kids?
Definition
S. pneumonia
h. influenza;
moraxella
Term
what age group are viral sinusitis more common in?
whate are the other mroe common pathogens for this group?
Definition
adults
G- anaerobes
Term
what are the common clinical features of bacterial sinusitis?
are these common?
Definition
inflammation, fever, pain
no
Term
what sinus causes severe headaches?
what causes forehead to swell
Definition
sphenoid
frontal lobe
Term
chronic sinusitis:
what are the common pathogens
what is the BIG THING TO REMEMBER
Definition
s. aureus
strep. epiderrmidis
G- anaerobes
BIOFILM GROWTH
Term
_ % of children have AOM by 1 yr
Definition
75
Term
what is the common ages for AOM
Definition
6 mo- 24 mo.
Term
for what URTI is empiric therapy usually needed?
Definition
AOM
Term
recurrent AOM is classififed as
Definition
3 in 18 mo
Term
presisitant AOM is?
Definition
nev er goes away
Term
CSOM is?
Definition
persistant AOM with pus
Term
diff btwn children and adults eustachian tubes
Definition
shorter, flatter
Term
general categories of risk factors of AOM
Definition
genetics, immunity status, health status, env
Term
points of a normal TM
Definition
springy, translucent, can see beyond it.
Term
points of a AOM TM
Definition
erythematous
cant see beyond it
not springy
bulging out
Term
points of MEE
Definition
not inflammed
pink.grey
glue ear
not springy
Term
most of AOM due to?
specifically premies and those less than 3 yrs?
Definition
viruses
RSV
Term
bacterial AOM due to
Definition
p. pneuomnia
h. influenza
moreaxella
Group A (pyogenes)
Term
if have recurrent AOM, probably due to what pathogen?
Definition
h. influenza
Term
if AOM is chronic what pathogens are common?
WHAT IS THE IMPORTANT POINT
Definition
G + (staph)
G- (psuedomonas, klebsiella, etc)
anaerobes
BIO FILM
Term
complications of untreated AOM
Definition
hearing loss, speahc problems
devlopment
mastoiditis
choleastoma
CSOM
Term
definition of bronchitis
Definition
inflammation of largerr tracheal bronchial tree
Term
when is acute bronchitis more common?
what about chronic?
Definition
winter
all year
Term
most common cause of acute bronchitis
chronic?
Definition
viral infections
not caused by certain pathogen
Term
what 2 diseases make up COPD
Definition
emphysema and bronchitis
Term
which disease is self limiting
Definition
acute bronchitis
Term
Pathophys of acute bronchitis is due to
Definition
edema from mucus membranes
Term
pathphys of chronic bronchitis
Definition
proinflammatory cytokines -> goblet cells->mucus plugging-> edema->scarring
Term
difference in acute vs chronic clincial presentations of bronchitis
Definition
chronic: sputum, cough for a very long time, chest x ray shows reduced diaphragm and increased thoracic cavity, increased RBC, redcued VC
Term
drugs best for bacterial acute bronchitis
Definition
zithromax or levoquin
Term
how do you know acute bronchtitis is due to bacteria
Definition
resp symptoms for >4-6 days
Term
treatment for chronic bronchtiis
Definition
advair, reduce exposure to irritant, pulmonary toilet
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