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Symptoms

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25%

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Fever

Responds to antipyretics

Does not respond to antipyretics

Age

< 6 months

6mo-2yrs

≥ 2yrs

Symptoms came on acutely

Symptoms present for > 48 hours

Ear pain present

Mild

Moderate

Severe

Sleeping Poorly

Sore Throat

Runny Nose

Cough

Vomiting

Diarrhea

Fever

Responds to antipyretics

Does not respond to antipyretics

Age

< 6 months

6mo-2yrs

≥ 2yrs

Symptoms came on acutely

Symptoms present for > 48 hours

Ear pain present

Mild

Moderate

Severe

Sleeping Poorly

Sore Throat

Runny Nose

Cough

Vomiting

Diarrhea

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Signs

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50%

Temperature

≤38.8C

>38.8C

Irritable

Inflammed Throat

Neck Stiffness

Tympanic membrane

Bulging

Redness or Hemmorage

Yellow with pus

Air-Fluid level

New perforation with pus

Chest exam

Wheeze or rhonchi

Crackles

Mastoid Pain

Chest Exam :

Wheeze or rhonchi

Crackles

Tympanic Membrane:

Bulging

Redness or Hemmorage

Yellow with pus

Air-Fluid level

New perforation with pus

Additional Notes:

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Antibiotic Decision

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75%

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Unvaccinated

Immunocompromised

Craniofacial Abnormalities

Cannot take oral antibiotics

Penicillin (e.g.: Amoxycillin)

Life threatening allergic reaction

Non life threatening allergic reaction

Taken in last 3 months

Cephalosporin (e.g.: Cefurozime)

Macrolide (e.g.: AZithromycin)

Lincomycin(e.g.: Clindamycin)

Unvaccinated

Immunocompromised

Craniofacial Abnormalities

Cannot take oral antibiotics

Allergic to OR taken in last 3 months

Penicillin (e.g.: Amoxycillin)

Life threatening allergic reaction

Non life threatening allergic reaction

Taken in last 3 months

Cephalosporin (e.g.: Cefurozime)

Macrolide (e.g.: AZithromycin)

Lincomycin(e.g.: Clindamycin)

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Symptoms

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25%

INDICATE DURATION & SEVERITY

New nasal obstruction

Discolored or purulent nasal discharge

1 day

2 days

3 days

4 days

5 days

Pain, pressure, or fullness over sinus

Change in smell

Orbital pain

Severe headache not directly related to sinus pain

New change in vision

Symptoms got better and then worsened

Number of days continually present

1 day

2 days

3 days

4 days

5 days

6 days

7 days

Severity of symptoms described

Only occasional symptoms

Constant symptoms but tolerable

Symptoms affect sleep or functioning

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Signs

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50%

Temperature

≤38.8C

>38.8C

Altered Mental Status

Systemactically toxic

Sinus Tenderness

Maxillory

Ethmoid

Frontal

Signs of menigeal irritation

New Neurological signs

Additional Notes:

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Antibiotic Decision

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75%

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Patient on Renal Dialysis

Diabetes

Immunocompromised

Resident of personal care home

Penicillin (e.g.: Amoxycillin)

Taken in last 3 months

Allergic

Amoxycillin (e.g.: Clavulanate)

Taken in last 3 months

Allergic

Macrolide (e.g.: AZithromycin)

Lincomycin(e.g.: Clindamycin)

Patient on Renal Dialysis

Diabetes

Immunocompromised

Resident of personal care home

Allergic to OR taken in last 3 months

Penicillin (e.g.: Amoxycillin)

Taken in last 3 months

Allergic

Amoxycillin (e.g.: Clavulanate)

Taken in last 3 months

Allergic

Macrolide (e.g.: AZithromycin)

Lincomycin(e.g.: Clindamycin)

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Symptoms

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25%

Age

* Age must be checked.

< 3yrs

3-15yrs

15-45yrs

45+yrs

Sore Throat

Runny Nose

Cough

Days symptoms present

1

2

3

4

5 ≥

Fever within past 24 hrs

Headache

Muscle aches

Hoarse voice

Age

Sore Throat

Runny Nose

Cough

Days symptoms present

Fever within past 24 hrs

Headache

Muscle aches

Hoarse voice

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Signs

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50%

Temperature

≤38.8C

>38.8C

Pharyngeal Inflammation

Mild

Moderate

Severe

Tonsillar Exudate/Pus

Anterior Cerivcal Lymph Nodes

Tender

Non-Tender

Oral Ulcers

Conjuntivitis

Temperature

≤38.8C

>38.8C

Pharyngeal Inflammation

Mild

Moderate

Severe

Tonsillar Exudate/Pus

Anterior Cerivcal Lymph Nodes

Tender

Non-Tender

Oral Ulcers

Conjuntivitis

Additional Notes:

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Antibiotic Decision

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75%

Allergic to OR taken in last 3 months

Penicillin (e.g.: Amoxycillin)

Life threatening allergic reaction

Non life threatening allergic reaction

Taken in last 3 months

Cephalosporin (e.g.: Cefurozime)

Macrolide (e.g.: AZithromycin)

Lincomycin(e.g.: Clindamycin)

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Symptoms

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25%

Fever

Sore Throat

Runny Nose

Cough

Central Chest Discomfort with cough

Pleuritic chest pain

Shortness of breath

# Days Sick

1

2

3

4

> 5

Age < 1

Head/Sinus Congestion

New Shortness of Breath

Productive

Dry

Chest Congestion

Fever

Sore Throat

Runny Nose

Cough

Central Chest Discomfort with cough

Pleuritic chest pain

Shortness of breath

# Days Sick

1

2

3

4

> 5

Age < 1

Head/Sinus Congestion

New Shortness of Breath

Productive

Dry

Chest Congestion

Fever

Sore Throat

Runny Nose

Cough

Central Chest Discomfort with cough

Pleuritic chest pain

Shortness of breath

# Days Sick

1

2

3

4

> 5

Age < 1

Head/Sinus Congestion

New Shortness of Breath

Productive

Dry

Chest Congestion

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Signs

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50%

Temperature

Tachypnoea

Altered Breath Sounds(compared to usual)

Crackles

Wheeze

Ronchi

<37.8C

>37.8C

Reduced Air Entry(compared to usual)

Reduced Oxygen Saturation

Temperature

Tachypnoea

Altered Breath Sounds(compared to usual)

Crackles

Wheeze

Ronchi

<37.8C

>37.8C

Reduced Air Entry(compared to usual)

Reduced Oxygen Saturation

Temperature

Tachypnoea

Altered Breath Sounds(compared to usual)

Reduced Air Entry(compared to usual)

Reduced Oxygen Saturation

Additional Notes:

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Antibiotic Decision

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75%

COPD

Asthma

Bronchiectasis

Cystic Fibrosis

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