Accepted
at 7:09 a.m. Jul, 15, 2024
by
Ahmed7
Author:
cmahlen
Rationale for change
c2 is the only 1b1 card in the note. Changed to c1 instead, but open to other ideas as well
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- In children, CENTOR is unreliable; must get a (+) rapid or culture before starting treatment!
Interpretation:
Score ≤ 1: no further diagnostic testing needed
Score 2-3: Consider rapid strep test and/or throat culture.
Score ≥ 4: Consider empiric antibiotic therapy (controversial)
- A rapid antigen test cannot be used to distinguish between GAS infection and carriers. Thus, the judicious use of a rapid antigen test for patients with a score ≥ 2 prevents the unnecessary treatment of GAS carriers.
- Even with a CENTOR score ≥ 4, empiric antibiotics without confirmatory testing are not routinely recommended as the risk of acute rheumatic fever is not high enough compared to risk of inappropriate antibiotic therapy
Lecture Notes
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Pathoma
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Boards and Beyond
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First Aid
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Sketchy
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Sketchy Extra
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Picmonic
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Pixorize
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Physeo
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Bootcamp
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