Week 1 ENT 4 of 4 Flashcards Preview

SUM '20 - Health Assessment > Week 1 ENT 4 of 4 > Flashcards

Flashcards in Week 1 ENT 4 of 4 Deck (55)
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1

B-hemolytic streptococcus, Aspergillus, Klebsiella, and Candida may be causative agents of what condition

epiglottitis

2

describe the 4 SUBJECTIVE findings of epiglottitis

Severe odynophagia, dysphagia
fever
shortness of breath

3

describe the OBJECTIVE findings of epiglottitis

Erythema
edematous epiglottis with narrow opening

4

what is the Health Promotion /disease prevention of epiglottitis

HIB immunizations may be preventive

5

in the most general terms what is epiglottitis

acute inflammation of the epiglottis and surrounding structures

6

name the three different general causes of epiglottitis

bacterial

viral

thermal injury

7

what is candidiasis caused by

candida albicans

8

What is the treatment of Candidiasis

nystatin oral suspension

SWISH AND SWALLOW

9

what is herpes labialis caused by

HSV -1
or
HSV -2

10

what is the treatment for herpes labialis (cold sores)

acyclovir
and
valacyclovir

11

aphthous stomatitis (canker sores) treatment

topical steroids such as kenalog
dexamethasone elixir
avoidance of spicy foods

12

what is parotitis

inflammatory process of the parotid gland

13

what can cause the inflammatory process of the parotid gland

bacteria
virus
fungal
mycobacterial

14

where does parotitis infection begin

begins with retrograde migration of oral cavity from ductal obstructive decreased stimulation of saliva from anorexia, decreased mastication, and poor oral hygiene.

15

parotitis subjective findings

Rapid onset of pain to the affected gland worse with mastication, fever, malaise, edema, headache

16

parotitis objective findings

In infectious cases, a suppurative discharge will be present from Stensen’s duct with palpation. Viral cases will exhibit a clear discharge with milking of Stensen’s duct.

17

parotitis Management:

Palpation of affected gland, Augmentin and cephalosporins for infectious cases. Proper hydration, sugar-free sour candies, heat to area may be helpful.

18

parotitis Health promotion/disease management

Good oral hygiene is needed for prevention.

19

how does peritonsillar abscess occur

when theres an accumulation of microorganisms located within the peritonsillar tissue

20

what pathogens can result from the ineffective treatment of pharyngitis

B-lactamase production by anerobes and some staphylococci strains

21

peritonsillar abscess subjective findings

High fever, fatigue, foul breath, severe odynophagia, pain to affected side

22

peritonsillar abscess objective findings

Unilateral, marked edema and erythema of the peritonsillar tissue, positive exudate to area, displaced uvula from tonsilar edema, drooling, anxiety, appearance of being acutely ill

23

peritonsillar abscess management

Needle aspiration, I & D to area, antibiotics, and pain control

24

peritonsillar abscess health promotion/disease management

Smoking is a risk factor for peritonsillar abscess.

25

is this when hammon said peritonsillar abscess can drool?

drooling

26

Pharyngitis and Tonsillitis: subjective findings

Non-infectious – sore, dry throat, rhinorrhea, watery eyes, postnasal drip. Infectious – fever, malaise, cough, headache, fatigue and malaise

27

Pharyngitis and Tonsillitis: objective findings

Non-infectious – mild erythema, little to no exudate, swollen, pale pharynx. Infectious – pharyngeal, tonsilar exudate, lymphadenopathy, petechnia of the soft/hard palate.

28

Pharyngitis and Tonsillitis:
Management:

Non-infectious – rest, fluids, humidification, voice rest, warm saline rinses. Infectious – antibiotics of penicillin IM or po, Biaxin, Zithromax are all indicated.

29

Pharyngitis and Tonsillitis:
Health Promotion:

Pharyngitis in an adult smoker that last greater than 2 weeks should be considered cancerous until proven otherwise.

30

name the 3 viruses that can cause pharyngitis and tonsillitis

Epstein-barr
influenza
CMV