Ace the Test
Pharyngitis - 🧠 ANSWER ✔✔- MCC is viral or allergies
- Centor criteria (Exudate, anterior adenopathy, fever, no cough)
- Grey membrane = corynebacterium diptheriae
- 2-3 (rapid strep), 4 (treat empirically)
- *Penicillin*, cephalosporin, macrolide, clindamycin
- Reason to treat is to prevent rheumatic fever and streptococcal
glomerulonephritis
Acute sinusitis - 🧠 ANSWER ✔✔- MCC is viral
- Bacterial causes include strep pneumoniae, h. flu, moraxela catarrhalis
, - Nasal congestion, nasal discharge, tooth pain, facial pain/pressure worse
w/ bending forward
- Viral <10 days
- Bacterial >10 days, purulent nasal discharge, unilateral tooth pain, high
fever, and double worsening
- *NSAIDs*, saline irrigation, *decongestants*, topical glucocorticoids
- Amoxicillin/clavulanic acid (*Augmentin*)
- Doxycycline or fluoroquinolone if penicillin allergy
Chronic sinusitis - 🧠 ANSWER ✔✔- >12wks
- Evaluate w/ CT or endoscopic exam of sinuses
- Culture if persistent infection
- Treat w/ 3 weeks Augmentin or clindamycin
- Add oral glucocorticoids and intranasal spray
Aphthous ulcers - 🧠 ANSWER ✔✔- "Canker sore"
- Round yellow-green ulcer w/ red halo
- Located on buccal mucosa