Shadow Health Advanced Pharmacology Student Handbook V 1.3.

Shadow Health Advanced Pharmacology Student Handbook V 1.3. Advanced Pharmacology Student Handbook - 1 -APH.V1.3 Advanced Pharmacology Table of Contents Focused Exam: Pediatric GAS Pharyngitis . - 4 - Focused Exam: UTI with Antibiotic Sensitivity................................................................................. - 5 - Focused Exam: Community-Acquired Pneumonia ........................................................................... - 6 - Focused Exam: COPD .............................................................................................................................. - 7 - Focused Exam: Hypertension and Type 2 Diabetes......................................................................... - 8 - Focused Exam: Pain Management ....................................................................................................... - 9 - - 2 -APH.V1.3 Advanced Pharmacology - 3 -APH.V1.3 Advanced Pharmacology Focused Exam: Pediatric GAS Pharyngitis Pediatric GAS Pharyngitis: Many viruses and bacteria can cause acute pharyngitis. Streptococcus pyogenes, which are also called group A Streptococcus or group A strep, cause acute pharyngitis known as strep throat. Group A strep pharyngitis is an infection of the oropharynx caused by S. pyogenes. Group A strep pharyngitis is an acute pharyngitis that commonly presents with, sudden-onset of sore throat, odynophagia, fever. Other symptoms may include headache, abdominal pain, nausea, and vomiting — especially among children. Patients with group A strep pharyngitis typically do not typically have cough, rhinorrhea, hoarseness, oral ulcers, or conjunctivitis. These symptoms strongly suggest a viral etiology. On clinical examination, patients with group A strep pharyngitis usually have, pharyngeal and tonsillar erythema, tonsillar hypertrophy with or without exudates, palatal petechiae, anterior cervical lymphadenopathy. Patients with group A strep pharyngitis may also present with a scarlatiniform rash. The resulting syndrome is called scarlet fever or scarlatina.