Diferencia entre revisiones de «Streptococcal pharyngitis»
(Created page with "==Background== -most common in children aged 4-7 years ==Diagnosis== CENTOR CRITERIA 1) History of fever 2) Absence of cough 3) LAD 4) Tonsillar exudate ==DDx== ...") |
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| Línea 1: | Línea 1: | ||
==Background== | ==Background== | ||
Most common in children aged 4-7 years | |||
==Diagnosis== | ==Diagnosis== | ||
===CENTOR CRITERIA=== | |||
#History of fever | |||
CENTOR CRITERIA | #Absence of cough | ||
#LAD | |||
#Tonsillar exudate | |||
==DDx== | ==DDx== | ||
#viral pharyngitis | |||
#PTA | |||
#retropharyngeal abscess | |||
#GC pharyngitis | |||
==Treatment== | ==Treatment== | ||
CDC Guidelines for adults >15yrs old | CDC Guidelines for adults >15yrs old | ||
| Línea 50: | Línea 29: | ||
0 Do not test/treat | 0 Do not test/treat | ||
Treatment = PCN (erythro if allergic) | Treatment = PCN (erythro if allergic) | ||
3 criteria = 40% PPV | 3 criteria = 40% PPV | ||
| Línea 61: | Línea 36: | ||
4 criteria = 50% PPV | 4 criteria = 50% PPV | ||
No need for cultures after neg rapid test | |||
==See Also== | ==See Also== | ||
See Peritonsilar Abscess | See Peritonsilar Abscess | ||
==Source== | ==Source== | ||
3/19/06 DONALDSON (Adapted from Rosen) | 3/19/06 DONALDSON (Adapted from Rosen) | ||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category:ID]] | |||
Revisión del 15:39 12 mar 2011
Background
Most common in children aged 4-7 years
Diagnosis
CENTOR CRITERIA
- History of fever
- Absence of cough
- LAD
- Tonsillar exudate
DDx
- viral pharyngitis
- PTA
- retropharyngeal abscess
- GC pharyngitis
Treatment
CDC Guidelines for adults >15yrs old
POINTS TREATMENT
4 Rx presumptive
3 Rx Presumptive
2 Rapid Strep Test
1 Do not test/treat
0 Do not test/treat
Treatment = PCN (erythro if allergic)
3 criteria = 40% PPV
4 criteria = 50% PPV
No need for cultures after neg rapid test
See Also
See Peritonsilar Abscess
Source
3/19/06 DONALDSON (Adapted from Rosen)