I come from where?!
most common cause of pharyngitis
viral!
CXR findings in acute bronchitis
normal CXR
The two main purposes of tympanometry
-dx AOM
-dx hearing loss in infant
Number 1 sign of viral pharyngitis
cough!
cystic fibrosis inheritance pattern
autosomal recessive
Three causes of Acute rhinosinusitis
1. Allergies
2. Infection (bacterial, fungal, viral)
3. polyps
Often follows a viral respiratory infection
acute otitis media
most common strain of coxsackievirus
A 16
Type of ear infection commonly seen in surfers
fungal ear infections
ear location for conductive hearing loss
outer and middle ear
4 bacteria causing acute pharyngitis
Group A strep*
Non-group A strep
Arcanobacterium hemolyticum
Fusobacterium spp
Most common bacterial cause of bacterial pharyngitis
group A strep
The cause of 5ths disease
parvo
The interpreted results of the Weber test
Sensorineural: lateralizes to normal ear
conductive: lateralizes to affected ear
Cephalosporin MOA
inhibit bacterial cell wall synthesis
5 common viral causes of pharyngitis
EBV
cytomeaglovirus
Respiratory viruses
Enteroviruses
HSV1
AOM treatment (including those with allergies)
High dose amoxicillin
PCN allergy: 2nd/3rd gen cephalosporins
If child on amoxicillin in last 30 days: amoxicillin-clavulanate
What a child should be able to do at 18-24 months
follow 2- step command
The interpreted results of the Rinne test
Sensorineural: AC >BC
conductive: BC> AC
MOA of amoxicillin
bacterial cell wall synthesis inhibitor
5 common viral causes of bronchitis
RSV
adenovirus
rhniovirus
influenza
parainfluenza
pharyngitis triad of symptoms
fever
sore throat
pharyngal inflammation
hearing loss that can be caused by wax and cholestomas
conducive hearing loss
Ear location for sensorineural loss
inner ear
Treatment of Acute viral rhinosinusitis
Topical/oral decongestants
Nasal irrigation
+/- topical corticosteroids
NO antibiotics