URTI Flashcards


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1

Acute Otitis Media:

Inflammation of the middle ear

2

AOM is middle ear effusion PLUS:

Moderate-severe bulging of the tympanic membrane

OR

Mild-bulging with onset within the last 48 hours

OR

Intense erythema of the tympanic membrane

3

Otitis media with effusion

Effusion WITHOUT s/sx

4

What organisms are associated with AOM?

S. pneumoniae- Amoxicillin

Harmophilus influenza- Augmentin

Moraxella catarrhalis- Augmentin

5

Which patients should be immediately treated with antibiotics?

1) 6-23 months with non-severe BILATERAL AOM

2) 2-12 with moderate/severe ear pain OR temp >39C or 102.2F

6

What are the three preferred treatments for AOM?

1. Amoxicillin 45mg/kg PO BID x 10 days

2. Augmentin 45 mg/kg + 3.2 mg/kg PO BID

3. Amoxicillin XR

7

Which agent is 1st line if a patient had amoxicillin in the last 30 days, purulent discharge, or recurrent infection that is unresponsive?

Augmentin

8

What are alternatives to initial treatment therapy?

1. Cefdinir

2. Cefuroxime

3. Cefpodoxime

4. Ceftriaxone (IM/IV) x 3 days

5. Clindamycin 30-40 mg/kg/day

9

What three agents will be used in failure at 48-72 hours?

ACC

1. Augmentin

2. Ceftriaxone (IM/IV)

3. Clindamycin and 3rd generation ceph

10

An unresolved infection of GABHS (pyogenes) can lead to what complication?

Rheumatic fever

11

What organism is associated with GABHS?

Acute pharyngitis

12

Diagnosis of Acute pharyngitis is done by what test?

RADT- high specificity

13

Supportive treatment oof Acute pharyngitis?

Lozenges

Analgesics

Antipyretics

14

Preferred treatment of Acute pharyngitis?

Amoxicillin 500 mg PO BID x 10 days

15

Alternative treatment of Acute pharyngitis?

Cephalexin 20 mg/kg (500 mg BID) x 10 days

16

What is the gold standard for bacterial rhino sinusitis?

Sinus puncture

17

Diagnosis with one of these three qualifications would be suspect of a bacterial infection?

1. Persistent s/sx lasting >10 days WITHOUT IMPROVEMENT

2. SEVERE s/sx of fever x 3-4 days

3. WORSENING symptoms following a viral URTI

18

What agents should not be used in acute bacterial rhino sinusitis?

Decongestants and antihistamines

19

Treatment of viral rhino sinusitis?

Symptomatic control with decongestants and irrigation

20

Treatment of bacterial rhinosinusitis:

Augmentin 875/125 PO BID x 5-7 days

21

Alternative treatment of bacterial rhino sinusitis:

Clindamycin + cefixime/cefpodoxime

Levofloxacin/Moxifloxacin

22

Treatment of bacterial rhinosinusitis if resistant of failed therapy?

Augmenting 1000mg/125 mg PO BID x 5-7 days