HTHSCI 2F03 Lecture Notes - Lecture 10: Fusobacterium Necrophorum, Erythema Marginatum, Cervical Lymphadenopathy
26 Dec 2020
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Swabbing superficial bacteria is irrelevant and can overdiagnosis. Analgesia: ibuprofen / paracetamol difflam gargle. Consider abx only if ill: use centor criteria. Pen v 250mg po qds (125mg tds in children) or erythromycin for 5/7. Not amoxicillin macpap rash in ebv. Guideline for admin of abx in acute sore throat / tonsillitis / pharyngitis. 1 point for each of: hx of fever, tonsillar exudates, tender anterior cervical adenopathy, no cough. 0-1: no abx (risk of strep infection <10%) 2: consider rapid ag test + rx if +ve. Recurrent tonsillitis if all the below criteria are met. Episodes are disabling and prevent normal functioning. Suspicion of ca: unilateral enlargement or ulceration. Unwell child c stiff, extended neck who refuses to eat or drink. Lat. neck x-rays show soft tissue swelling. Ijv thrombophlebitis c septic embolization most commonly affecting the lungs. Sandpaper -like rash on chest, axillae or behind ears. Tonsillar gag may damage teeth, tmj or posterior pharyngeal wall.
