HEENT
Treatment Logic
Bugs
More Bugs
Zoonotic
300

This fascial space lies between the alar fascia and prevertebral fascia and allows rapid spread of infection inferiorly.

The danger space

300

These antibiotics are commonly used because they cover gram-positives and anaerobes.

What are amoxicillin-clavulanate or clindamycin

300

Patients often have cervical lymphadenopathy but classically have sore throat with an adherent, posterior pharyngeal pseudomembrane

Diphtheria

300

Acute lymphadenitis in an older child with poor dentition and dental caries.

What are anaerobic bacteria

300

This zoonotic infection from unpasteurized dairy can cause lymphadenopathy and systemic symptoms.

Brucellosis

400

This condition is a rapidly progressive cellulitis involving the floor of the mouth.

What is Ludwig angina?

400

This empiric IV antibiotic is commonly used for hospitalized pediatric lymphadenitis because it covers many typical head-and-neck pathogens.

ampicillin-sulbactam (Unasyn)

400

Bilateral cervical lymphadenopathy with cough and rhinorrhea suggests this etiology 

What is viral infection (possibly adenovirus)

400

cute, unilateral, tender lymph node in a toddler with no dental disease.

Staphylococcus aureus or Streptococcus pyogenes

400

Known to be caused by hunters skinning rabbits, this bug is more often transmitted by

Tics

500

This muscle separates the sublingual space from the submandibular space and is key in determining spread of oral infections.

What is the mylohyoid muscle?

500

This physical exam finding indicates need for surgical intervention

What is fluctuance?

500

A child with bilateral lymphadenopathy, extreme fatigue but negative heterophile test likely has this virus.

What is CMV

500

Chronic, nontender lymph node with violaceous discoloration in a child.

MAC 

500

This chronic infection is acquired after exposure to soil or moss  with the fungus Sporothrix schenckii.  Symptoms classically include nodular papules or ulcerations at the site of exposure and along the draining lymphatic chain.

Sporotrichosis