exam 3 - mouth pt 2

what is the most common bacteria to cause pharyngitis

strep

TQ

what does the Centor Scale distinguish

bacterial (GAS) from viral pharyngitis

what are the features of the centor scale which will add a point to the score

fever

absence of cough

tonsillar exudates

swollen, tender anterior cervical nodes

what will each score from the Centor Test result in for tx

1

2

3

4

1 - no test/tx

2 - rapid antigen test

3 - test and treat

4 - test and treat

a centor score of ___ or more will require a test

2

what is McIsaac Score

add a point to the Centor Score if the patient in younger than 15

subtract point if patient is older than 45

What is a potential noninfectious cause of pharyngitis?

postnasal drip

aka of candidiasis

thrush

what organ should be examined in someone with mononucleosis

spleen

what condition can result on white spots forming on oral mucosa and a sore throat

mononucleosis

chronic infection of the gums, bones, or other tissues which support the teeth is called

periodontal disease

what is a peritonsillar abscess

focal, aggressive infection between soft palate and tonsil

what is the most common cause of a peritonsillar abscess

bacteria

what position is a retropharyngeal abscess found in

posterior

which type of abscess is life-threatening:

peritonsillar

retropharyngeal

retropharyngeal - reduces airway size

who is retropharyngeal abscess most common in

children

TQ

what increases the risk for tonsilloliths

larger tonsilar crypts

what forms tonsilliliths

food in crypts -> WBC sent to fight -> collection forms in crypt

what is a common symptoms of tonsilloliths

halitosis

are tonsilloliths commonly seen on xray

yes

what should you avoid doing in infants and children when examining the internal mouth

depressing the tongue - strong reflex and protrusion

what is a common feature of the gums during pregnancy

hypertrophy

what are some common oropharyngeal changes in older patients

reduced salivary flow - xerostomia

thinning buccal mucosa

tongue fissures and varicose veins

dental occlusion