HY Doc

Question 1

Signs of sinusitis

Answer 1

• Persistent sx URI >10 days w/o improvement

- worsening sx >5d after initial improvement of viral URI

Question 2

Timing of sinus formation

Answer 2

@birth: ethmoid and maxillary
3-5yr: sphenoid
7-10: frontal

Question 3

Persistent fever, neuro deficits, headache, seizures, maybe signs of increased ICP

Answer 3

Cerebral abscess

Question 4

complications of strep pharyngitis

Answer 4

PSGN (abx dont prevent), RF (abx prevent), Peritonsillar abscess (asymmetric tonsillar bulge/displaced uvula)

Question 5

Tx for Strep Pharyngitis

Answer 5

Amoxicillin

Question 6

T/F: AOM usually develops after simple URI

Answer 6

True

Question 7

Dx of AOM (signs?)

Answer 7

-fluid in middle ear = BULGING TM, ABSENT mobility + sx of infection (Red TM)

…Pneumatic Otoscopy identifies abnormal TM movement