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Pharyngitis involves:
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Inflammatory porcess of pharynx, hypopharynx, uvula and tonsils
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Pharyngitis is caused by:
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Viruses are most common but can be bacteria
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Bacterial pharyngitis is caused mostly by
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GAS, also M.pneumoniae,Chlamydia pneumonie, Neisseria Gonorrhoea, and corynebacterium diptheria, vincent angina
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GAS involves what symptoms
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Anterior cervical adenopathy, tonsilar exudate, fever and usually no cough
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Viral pharyngitis caused by:
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Adenovirus, herpes simplex, coxsackie A&B, EBV and CMV
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CMV is best recognized in
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Immunocompromised host
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Symptoms of CMV
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Fever, malaise, osre throat, headache, increased LFT's lyphocytosis and a rash if treated with ampicillin
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Non infectious pharyngitis include
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Mouth breathing, allergic rhinitis, viral thyroiditis, and carotidynia
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Viral thyroiditis or subacute thyroiditis S/S
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Painful enlargement of thyroid gland, feer, fatigue, muscle and joint aches symptoms of overactive thyroid
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Treatment of subacute th\yroiditis include
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NSAIDS or corticosteroids
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S/S of pharyngitis
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Herpangia, fever, headaches or malaise with sorethroat, hand-foot-mouth syndrome
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Mononucleosis s/s
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Exudative tonsilitis with fever, malaise, lymphadenopathy and palatal petechiae
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Treatment of GAS
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PenVee K 500 tidx10 days
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erythromycin 250 tid/10 days
duricef 500 mg
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Sinusitis involves
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Inflammatory process of paranasal sinuses (maxillary, frontal, ethmoid, and sphenoid)
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Sinusitis is usually a bacterial complication of a:
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Viral upper respiratory infection
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