• Atypical pneumonia
• Inclusion conjunctivitis
• Pharyngitis

inclusion conjunctivitis

opthalmia neonatorum

• Inclusion conjunctivitus
• HFM
• ulcerative pharyngitis
• herpangina

HFM disease

ulcerative pharyngitis

inclusion conjunctivitis

acute otitis media

sinusitis

ulcerative pharyngitis

oral herpes

keratitis

flu

sinusitis

acute otitis media

acute sinusitis

chronic bronchitis

COPD

necrotizing pneumonia

chronic pneumonia

laryngotrachiobronchitis

sinusitis

necrotizing pneumonia

otitis externa

common cold

sinusitis

necrotizing pneumonia

conjunctivitis

otitis externa

rheumatic fever

acute glomerulonephritis

acute otitis media

pink eye

sinusitis

pink eye

pharyngitis

rheumatic fever

acute glomerularnephritis

Dental Caries

Who:

Pathogenesis:

Treatment:

Who: Strep mutans

Pathogenesis: Bacteria -> biofilm calsifies.  Strep mutans fermentation

Treatment: Remove and fill.

Periodontitis

Who:

Pathogenesis:

Treatment:

Who: Porphyromonas Gingivalis

Pathogenesis: Plaque to deep tissue -> tooth loss

Treatment: Oral hygene, Antibiotics

Oral Candidasis

Bug

Predisposition

Symptoms

Treatment

Bug: Candida

Predisposition: newborns, Antibiotic therapy, Immunocomprimised, Dentures

Symptoms: White cottage cheese

Treatment: Ketoconazole

• Life long.  Less severe over time
• Infection of eyes, skin, mouth.  lesions
• "Prodrone of pain"

Herpangina

Bug:

Epidemiology

Manifistation

Bug: Coxsackie A 2, 4, 10

Epidemiology: Summer/fall, Children 3-10, respiratory POE

Manifestation: Fever, red ulcers on pallat & tonsils

Hand food & mouth disease

Bug: Coxsackie A16 & enterovirus 71

Epidemiology: Year round, 1-5 year olds, RT

Vesicular ulcerative pharyngitis in mouth (not tonsils)

Ulcers on hands, feet, butt

• Paramyxovirus
• Summer/fall
• Age 5-15 (and some adults)
• RT POE
• Swelling of parotids (glands near jaw)
• Can cause meningitis, encephalitis, sterility, pancreatitis

• Red eye, vision loss, serous discharge, photophobia
• Treat with acyclovir and corticosteroids

Anaerobes

mycobacterium tuberculosis

coccidioides immitis

histoplasma capsulatum

Blastomyces dermatidis

Adenovirus

Chlamydia pneumoniae

mycoplasma pneumoniae

respiratory syncytial virus

• Yellow -> Green nasal discharge
• Sinus pain increases when bending forward
• Tenderness to percussion over sinuses
• Edema of eyelids
• Purulent discharge

Bacterial Sinusitis

(treat with augmentin)

• Earache & itching
• pus discharge
• hearing loss
• Outer ear canal edematous
• Timpanic membrane ok, no serous fluid behind it

• Unilateral/bilateral ear pain
• Feeling of fullness in in ear
• irritability
• Bulging timpanic membrane with fluid behind

Otitis media

(Treat with Amox, topical anesthetics, eardrops. 

NOT decongestants, antihistamines, osteroids

• Unilateral/bilaeral discomfort
• feeling of fullness and hearing loss
• Normal tympanic membrane with liquid & bubles behing it

Otitis media with effusion

(treat with ear popper, AB only if chronic)

NO decongestants, antihistamines, steroids

• Nasal discharge
• Pharyngeal discomfort
• Erythrematous, edamatious nasal passage
• opaque, purulent rhinorrhea

• Nasal discharge
• blue-colored, edamatous nasal passages
• clea, serous-fluid colored rhinorrhea

• Acute onset of fever, headache, chills, sore throat
• Tender cervical (neck) lasting 3-7 days

A: low temperature, no nausea/vomiting

B: High temperature, nausea/vomiting

A: Adenovirus

B: Strep pyogenes (GAS)

• Pharyngitis
• Unilateral/bilateral conjunctivitis
• periauricular, and cervical lymphodenopathy

• Fever, malaise
• subcutaneous nodules over the joints
• migratory polyarthritis
• mitral valve regurgitation
• sore throat 10d-5w ago

• History of kidney malfunction
• Low serum C3, urine abnormalities,
• Sore throat 10d-5w ago

• extremely painful Pharyngitis
• bull neck
• gray pseudomembrane in oropharynx
• severe prostration

Diphtheria

(neutralize toxin, give penicillin, erythromycin)

• abrut onset
• fever, sore throat, horseness
• supraglottic edema
• thumb sign on epiglottis

• low or no fever
• hoarseness, sore throat, barklike cough
• subglottic edema
• stepple sign on throat

• high fever
• sore throat, hoarseness, barklike cough
• respiratory distress
• appears toxic

• An eye infection
• 2-5 days after birth
• can result in blindness due to corneal ulceration

Opthalmia neonatorum

Neiseria Gonorrhoeau

• An eye infection
• 5 to 10 days after birth

Inclusion conjunctivitis

Chlamydia trachomatas

• abrupt onset of high fever
• chills, headache, sore throat
• non productive cough
• chest discomfort lasting 1 week
• convelescent period lasting 1-2 weeks

• Coldlike symptoms lasting 10 days
• repeated spasmodic coughs followed by sudden forcefull inspiration
• expulsion of thick mucous
• vomiting 4 weeks