Pharyngitis

Question 1

1st line treatment for pharyngitis

Answer 1

penicillin VK PO

adult: 250mg QDS or 500mg BD
peds: 250mg BD-TDS

Question 1

complications of pharyngitis

Answer 1

acute rheumatic fever

acute glomerulonephritis

Question 2

alternative treatments for pharyngitis

Answer 2

amoxicillin PO 
adults: 1g OD or 500mg BD 
peds: 50mg/kg/day divided OD or BD 
clindamycin PO 
adults: 300mg TDS 
peds: 7mg/kg TDS

Question 3

clinical improvement, duration of treatment for pharyngitis

Answer 3

24-48h, 10d

Question 4

clinical presentation of pharyngitis

Answer 4

acute onset of sore throat, pain w swallowing
fever
erythema and swelling of pharynx and tonsils w(o) patchy exudates
tender, swollen lymph nodes

Question 5

clinical diagnosis of pharyngitis

Answer 5

fever
swollen lymph nodes 
tonsillar exudate
absence of cough 
< 14y (highest risk)

Question 6

microbiology of pharyngitis

Answer 6

S. pyogenes

Question 7

pathogenesis of pharyngitis

Answer 7

direct contact with droplets of infected saliva or nasal secretions
incubation period: 24-48h