Infectious Mononucleosis

Introduction to Infectious Mononucleosis

Welcome to the Infectious Mononucleosis subsection of the ENT for the MSRA course.

This section is designed to provide comprehensive and structured learning materials to help you understand and master the topic of Infectious Mononucleosis for the MSRA.


Resources for Infectious Mononucleosis:

  1. Infectious Mononucleosis Revision Notes for the MSRA
    Detailed and concise traditional revision notes covering all essential aspects of Infectious Mononucleosis, including its causes, symptoms, diagnosis, and treatment. These notes are based on UK NICE guidelines and formatted in tables for easy recall.
  2. Infectious Mononucleosis Flashcards for the MSRA
    Interactive flashcards to help you memorise key facts and concepts about Infectious Mononucleosis. These are perfect for quick reviews and reinforcing your knowledge.
  3. Infectious Mononucleosis Accordion Q&A Notes for the MSRA
    Engage in active learning with question-and-answer-style revision notes in the accordion format. This is useful for testing your understanding of Infectious Mononucleosis and focusing on areas needing improvement.
  4. Infectious Mononucleosis Rapid Fire Quiz for the MSRA
    A short quiz to test your knowledge and recall of Infectious Mononucleosis-related concepts. It’s an excellent way to assess your progress and pinpoint areas for further review.

Key Points about Infectious Mononucleosis:

  • Definition: Infectious Mononucleosis, commonly known as glandular fever, is a viral infection caused by the Epstein-Barr virus (EBV). It primarily affects adolescents and young adults and is characterized by fever, pharyngitis, and lymphadenopathy.
  • Causes: The condition is primarily caused by the Epstein-Barr virus, which is transmitted through saliva. It is sometimes referred to as the “kissing disease” due to its mode of transmission. Other modes of transmission include sharing drinks, utensils, or exposure to infected bodily fluids.
  • Symptoms: Symptoms typically include a triad of fever, sore throat, and swollen lymph nodes, especially in the neck. Additional symptoms may include fatigue, malaise, headache, splenomegaly, and, occasionally, a maculopapular rash, particularly if amoxicillin or ampicillin is administered.
  • Investigations: Diagnosis is clinical but can be confirmed with blood tests such as the Monospot test, heterophile antibody test, or specific EBV serology. A full blood count may show atypical lymphocytes, and liver function tests may reveal mild hepatitis.
  • Management: Management is mainly supportive, including rest, hydration, analgesics, and antipyretics. Patients are advised to avoid contact sports for at least four weeks to reduce the risk of splenic rupture. Corticosteroids may be used in severe cases with airway obstruction, hemolytic anemia, or severe thrombocytopenia.
  • Complications: Complications can include splenic rupture, airway obstruction, secondary bacterial infections, hepatitis, and, rarely, neurological complications such as Guillain-Barré syndrome or encephalitis.

We hope you find these resources helpful and engaging as you prepare for the MSRA. Explore related topics and make the most of the materials provided.

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Free MSRA Podcast: Infectious Mononucleosis

https://open.spotify.com/episode/0gavOXyQz0TzbEFjxRGgaf?si=XsCYW8akTvCbZTRXF-AoXQ