Tri-6, Wk11, Day 384 - Wednesday, T-Minus 5 days to Phys Dx Exam 3 - 14 hours to EENT Exam

This blog entry may have the longest title of any blog to date. I am in the midst of studying EENT and am reading an article on Pharyngitis. While reading the article I'm looking up several words to help make sure I fully understand the meaning of the article. I thought it might be interesting to make a blog of the words I'm looking up. Some of the words I felt silly about looking up after I saw the definition but, at the time I saw them the full meaning wasn't 100% clear.

1. Serosanguineous - a descriptive term for a substance that oozes or is discharged from the body that contains blood & serum.
2. Lymphadenopathy - abnormally enlarged lymph nodes.
3. periungual desquamation -
4. hematuria - blood in the urine
5. exanthem - widespread rash usually occurring in children
6. erythematous - redness of the skin caused by dilation and congestion of the capillaries
7. adenopathy - adenomegaly (enlargement of a lymph node)
8. Kawasaki dz - a febrile, exanthematous, multisystem vasculitis of importance because approximately 20% of untreated children will develop coronary artery abnormalities.

That wasn't too bad. As long as I'm here I'll use this forum to answer some questions about pharyngitis.

1. Which of the most common pharyngitis pathogens is associated with the highest risk for potential life-threatening complications? group A beta-hemolytic streptococcus (GABHS)

2. What is the mode of transmission of viral and GABHS pharyngitis? mostly by hand contact with nasal discharge

3. What etiology of pharyngitis is more likely in the absence of nasal discharge, cough, and conjunctivitis: bacteria or viruses? bacteria

4. What type of pathogen is the most common cause of ‘sore throat’ (pharyngitis/tonsillitis): bacteria or viruses? viral

5. What pathogen causes most cases of bacterial ‘sore throat’ (pharyngitis/tonsillitis)? GABHS

6. What clinical feature is associated with infectious mononucleosis, but not with 'strep throat': red pharynx (injection) with exudates or posterior cervical lymphadenopathy? posterior cervical lymphadenopathy is associated with mono ///- anterior cervical lymphadenopaty is associated with GABHS (strep throat)

7. Of all ‘strep throat’ (GABHS pharyngitis/tonsillitis) complications - both purulent and non-purulent (see lecture) - which one is not preventable or treatable with antibiotics? Non-purulent complication, glomerulonephritis

8. Name two ‘strep throat’ (GABHS pharyngitis/tonsillitis) complications that are associated with an elevated antistreptolysin-O titer. rheumatic fever & poststreptococcal glomerulonephritis

9. What are Pastia’s lines? body folds & creases

10. What pharyngitis condition is associated an adherent (=cannot be peeled off) grayish membrane of the pharynx, uvula, and soft palate & tender cervical lymphadenopathy? ...well, until I hear otherwise I'm going with Vincent's Angina.

11. A - Which sore throat condition presents with strawberry tongue, anterior lymphadenopathy, wide spread skin rash and edema and erythema (=red) hands and feet? ...until I hear otherwise I'll go with Kawasaki's dz

12. 1. Analyze Table 2 (p.1469). A. What clinical symptoms are most strongly correlated with GABHS pharyngitis/tonsillitis?

B. What age group has the highest incidence of ‘strep throat’?

I'm dead tired and need to get some sleep

Pic of the day is Periungual desquamation - a complication of Kawasaki's syndrome.