influ, bronch, oral pharynx, pharyngits pharm
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Influenza
Tx is _1_
*_2_
*_3_
*_4_ _4_
*_5_!!!
Incubation period: __6__
Adults infections _7_ before
sx to _8_ days after onset -
1. supportive
2. anaglesics
3. decongestants
4. cough suppressants
5. time and rest!
6. 2-4 days
7. 24 hours
8. five -
Influenza
90% are _1_ no use of _2_ w/out _3_ of _4_ _4_ or other comorbidity
_5_ not indicated in _6_ _6_ bacterial bronchitis:
*tx _7_ for those with hx
of _8_, _9_, or _10_ sxs
*r/o _11_ -
1. non-bacterial
2. ABX
3. hx
4. chronic bronchitis
5. ABX
6. acute uncomplicated
7. reserved
8. chronic bronchitis
9. COPD
10. severe
11. r/o pnuemonia -
Most common bacteria are:
BP=1
CP=2
MP=3
Pts esp _4_ w/ _5_ cough:
*culture for _6_
*treat w/ _7_ or _8_ > 8yo -
1. Bordetella pertussis
2. chlamydia pneumoniae
3. mycoplasma pneumoniae
4. children
5. prolonged
6. pertussis
7. macrolide
8. tetracycline -
Candidiasis
Anti_1_ Therapy:
*_2_ (Diflucan)_3_mg _4_days
*_5_ (Nizoral)_6_mg w/ food
daily for _4_ days
~needs _7_ enviroment
~many drug _8_ via
CYP 450 3A4 system
~monitor for _9_ -
1. Fungal
2. fluconazole
3. 100
4. 7-10
5. ketoconazole
6. 200-400
7. acidic
8. interactions
9. hepatotoxicity -
Candidiasis
*_1_ (Mycelex)_2_ 5x day
*_3_ OS 3-4x day -
1. clotrimazole
2. troche losenges
3. Nystatin -
Peritonsillar Abscess
*Cause usually aerobic & anaerobic infections
*_1_ pyogenes in 30% of cult
*H. flu & Staph also poss.
Tx:
_2_ (my favorite)
_3_ G _4_
M_5_
E_6_ -
1. strep
2. I & D
3. Pen
4. IV
5. Metronidazole
6. Erythromycin -
Necrotizing _1_ _1_
*Trench mouth, _2_ _2_
Causes:
*Spriochetes and
fusiform _3_
*_4_ is a frequent
predisposing factor
*Seen in _5_ pts -
1.Ulcerative Gingivitis
2.Vincent's angina
3. bacilli
4.stress
5.younger
5. -
Vincent's Angina
Tx:
*P__1__ __
*PVK 500mg or _2_ 500mg
TIDx10
*_3_ 150-300mg TID -
1. Pen G IV
2. Amoxicillin
3. Clindamycin -
GABHS: treat for _1_
*_2_, _3_, _4_
*_5_ _5_ (Bicillin LA)
2.2 MIU once IM -
1. 10 days
2. Pencillins
3. Erythromycin
4. Cephalosporin
5. Benzathine Penicillin -
When to use ABX?
*Confirmed _1_
*No _2_
When not to tx w/ ABX?
*mose of the time most _3_
_3_ are _4_
*the following are unusual
in strep throat
~_5_, _6_, _7_,
_8_absence of _9_ -
1. GABHS (s. pyongenes)
2. Cough
3. Sore throats
4. Viral
5. Cough
6. Rinorrhea
7. Diarrhea
8. Conjunctivitis
9. fever -
Herpetic Stomatitis
*Common mild and short lived
*_1_ 200-800mg 5x for 7-14
days may reduce _2_ _2_ and
_3_ post _4_ _5_
Coxsackievirus: hand & foot
*_6_ _6_!!
*_7_ tx only
*stay home from school -
1. Acyclovir
2. viral shedding
3. reduce
4. herpatic
5. pain
6. Very Contagious!!
7. Supportive