Flashcards in Week 1 ENT 4 of 4 Deck (55)
B-hemolytic streptococcus, Aspergillus, Klebsiella, and Candida may be causative agents of what condition
describe the 4 SUBJECTIVE findings of epiglottitis
Severe odynophagia, dysphagia
shortness of breath
describe the OBJECTIVE findings of epiglottitis
edematous epiglottis with narrow opening
what is the Health Promotion /disease prevention of epiglottitis
HIB immunizations may be preventive
in the most general terms what is epiglottitis
acute inflammation of the epiglottis and surrounding structures
name the three different general causes of epiglottitis
what is candidiasis caused by
What is the treatment of Candidiasis
nystatin oral suspension
SWISH AND SWALLOW
what is herpes labialis caused by
what is the treatment for herpes labialis (cold sores)
aphthous stomatitis (canker sores) treatment
topical steroids such as kenalog
avoidance of spicy foods
what is parotitis
inflammatory process of the parotid gland
what can cause the inflammatory process of the parotid gland
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.
parotitis subjective findings
Rapid onset of pain to the affected gland worse with mastication, fever, malaise, edema, headache
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.
Palpation of affected gland, Augmentin and cephalosporins for infectious cases. Proper hydration, sugar-free sour candies, heat to area may be helpful.
parotitis Health promotion/disease management
Good oral hygiene is needed for prevention.
how does peritonsillar abscess occur
when theres an accumulation of microorganisms located within the peritonsillar tissue
what pathogens can result from the ineffective treatment of pharyngitis
B-lactamase production by anerobes and some staphylococci strains
peritonsillar abscess subjective findings
High fever, fatigue, foul breath, severe odynophagia, pain to affected side
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
peritonsillar abscess management
Needle aspiration, I & D to area, antibiotics, and pain control
peritonsillar abscess health promotion/disease management
Smoking is a risk factor for peritonsillar abscess.
is this when hammon said peritonsillar abscess can drool?
Pharyngitis and Tonsillitis: subjective findings
Non-infectious – sore, dry throat, rhinorrhea, watery eyes, postnasal drip. Infectious – fever, malaise, cough, headache, fatigue and malaise
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.
Pharyngitis and Tonsillitis:
Non-infectious – rest, fluids, humidification, voice rest, warm saline rinses. Infectious – antibiotics of penicillin IM or po, Biaxin, Zithromax are all indicated.
Pharyngitis and Tonsillitis:
Pharyngitis in an adult smoker that last greater than 2 weeks should be considered cancerous until proven otherwise.