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,Kawasaki Disease high fever, enlarged lymph nodes, conjunctivitis, dry, cracked lips
strawberry tongue
most cases under 5 years of age
pharyngitis acute infection of the pharynx
stuffy nose, rhinitis with clear mucus, and watery eyes
allergic rhinitis inflammatory changes of the nasal mucosa due to an allergy response
most common sign: transverse nasal crease (allergic salute)
tonsillitis inflammation of the tonsils
sore throat, difficulty swallowing, tender lymph nodes
Treatment for otitis externa Use aluminum acetate solution PRN (provides soothing, effective relief of minor skin
irritations and inflammation)
keep water out of the ear
Polymyxin B-neomycin-hydrocortisone suspension drops QID x 7 days and/or ofloxacin
drops
Bullous Myringitis small, fluid-filled blisters form on the eardrum
First permanent teeth to erupt first molars at about 6 years of age
viral keratoconjunctivitis pink eye
treatment- symptomatic
cold compresses and slightly chilled artificial tears
avoid touching eyes, haring towels, frequent eye washing
children should not attend school until symptoms resolve
what causes viral keratoconjunctivits? adenovirus
contagious for 10-12 days
self limiting
,Transmission of sound through the ear 1. sound waves are collected in the pinna
2. transmission of vibrations through the hammer, anvil and stirrup
3.nerve impulses stimulate in the inner ear
4. vibrations are transmitted of the cerebral cortex auditory center
5.sound is interpreted by the cerebral cortex
Ishihara chart screening a patient for colour blindness
Tx for otitis media 1st line- amoxicillin
blepharitis chronic condition caused by inflammation of the eyelids
contact lens keratitis eye pain, redness, excessive tearing, lesion on the cornea
1st line- topical abx
primary angle-closure glaucoma sudden blockage of the aqueous humor
increased intraocular pressure
Acute Rhinosinusitis inflammation of the mucosal lining of nasal passages, lasting up to 4 weeks, caused by
allergens
Acute Bacterial Rhinosinusitis secondary bacterial infection, usually following viral URI
Diseases caused by S. pneumoniae COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
Diseases caused by H. influenza COMPS
Conjunctivitis
Otitis media
Meningitis
Pneumonia
Sinusitis
, Common features of ABRS fever and symptoms duration of more than 10 days
maxillary toothache
initial symptom improvement and then worsening of symptoms (double sickening)
cacosmia (sense of bad odor in the nose)
unilateral facial pain
7 day tx is the best
Tx for ABRS in adults Initial therapy: amoxicillin or amox-clav
Beta-lactam allergy:
No anaphylaxis (cefdinir, cefpodoxime, cefuroxime)
anaphylaxis (levo, moxi, doxycycline)
*macrolide abx (azithro, clarithro, erythro) and TMX-SMX (Bactrim) not recommended in
ABRS tx
Doxycycline pregnancy risk: Cat D
Resp fluroquinolones pregnancy risk: Cat C
Normal hearing no lateralization
AC>BC
Sensorineural hearing loss lateralization to good ear (sound is heard louder in the normal ear)
AC>BC
Conductive hearing loss lateralization to bad ear (sound is heard louder in the bad ear)
BC>AC
Allergic rhinitis inflammatory, IgE mediated disease due to genetic and environmental interactions and
characterized by nasal congestion, rhinorrhea, sneezing, intraocular and/or nasal itching