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FNP~Upper Resp D/O

QuestionAnswer
Is the common cold bacterial or viral? viral
Approx how many days does the common cold last? 5-10 days
s/sx's of common cold... ~watery rhinorrhea ~erythematous nasal mucosa ~sneezing ~nasal and sinus blockage ~H/A ~sore throat ~cough ~malaise
Management of the common cold... ~supportive care ~hydration ~fever & pain: Tylenol , Motrin ~warm salt water gargles
Pharyngitis/Tonsillitis may be caused by? viruses or bacteria
Pharyngitis/Tonsillitis s/sx's... ~erythematous pharynx ~rhinorrhea (viral) ~cough ~anterior cervical adenopathy ~fever (bacterial) ~painful throat
Clinical features of group A strep pharyngitis (FLEA)... ~"F"EVER ^38' C ~"L"ACK of cough (NO cough with strep) ~Pharyngotonsillar "E"XUDATE ~"A"nterior cervical "A"denopathy
Pharyngitis/Tonsillitis tests... ~rapid strep ~monospot ~CBC with diff.
Management of Pharyngitis/Tonsillitis... ~fluids/hydration ~salt water gargles ~ASA/Tylenol ~abx for strep (PCN v. EES) ~cefrtiaxone for GC ~refer
What is "influenza"? an acute "febrile" illness caused by infection with influenza "virus"
s/sx's of influenza... acute onset...~fever 102-103'F ~H/A ~myalgias ~coryza ~anorexia ~malaise ~cough
Management of influenza... ~supportive care ~Zanamivir (Relenza)-inhaler ~Oseltamivir (Tamiflu)-oral
What is mononucleosis? symptomatic infection caused by Epstien-Barr "virus"; common in 15-24 yo; incubation 1-2 months; usually self-limited but malaise and fatigue may last for months
s/sx's of mono... ~fever ~chills ~malaise ~anorexia ~pharyngitis (most severe sx) ~white "frothy" tonsilar exudates ~adenopathy/lymphadenopathy (posterior cervical region) ~splenomegaly (usually during 2nd wk of illness)
Testing for mono... ~monospot (+) ~^WBC's
Management of mono... ~supportive care ~prednisone steroid taper for severely enlarged tonsils ~avoid contact sports 3wks-3months
What are some causes of sinusitis? ~H. influnzae ~S. pneumoniae ~various anaerobes
s/sx's of bacterial sinusitis are... purulent nasal drainage and fever
Created by: KimmiNP
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