ACCURATE ANSWERS
sinusitis Correct Answers Infection/inflammation of the nasal sinuses
due to bacterial, viral, or fungal infection or allergic reaction
symptoms suggestive of ABS Correct Answers symptoms lasting more
than 10 days
onset of severe symptoms (fever, purulent drainage) lasting at least 3
consecutive days at the beginning of the illness
symptoms worsen after initial improvement
what percentage of ABRS will clear spontaneously Correct Answers 40-
70%
how long does it take for eradication of ABRS Correct Answers if on
appropriate abx, 72 hours but treat 5- 7 days
how long to treat ABRS with ABX Correct Answers 5-7 days
most important and treatable cause of pharyngitis/tonisillitis Correct
Answers group a strep
what can untreated strep cause Correct Answers kidney and heart
damage
, symptoms of group a strep Correct Answers tonsillar exudates, fever,
absent cough, cervical lymph node involvement
centor criteria Correct Answers Exudative pharyngitis
Fever
Tender anterior cervical LAD
Absence of cough
Modifier: <15 years old --> add 1 point
>44 years old --> subtract 1 point
Abx at 4-5, culture 2-3 and symptomatic tx -1-1
If the Centor Criteria is a 2 or greater- Correct Answers get rapid strep
most causes of pharnygitis- Correct Answers viral
influenza
parainfluenza
rhinovirus
hsv
ebv
cmv