Clinical Presentation and Diagnosis of Pharyngitis

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General
·         A sore throat of sudden onset that is mostly self-limited
·         Fever and constitutional symptoms resolving in about 3 to 5 days
·         Clinical signs and symptoms are similar for viral causes and nonstreptococcal bacterial causes
Signs and Symptoms
·         Sore throat
·         Pain on swallowing
·         Fever
·         Headache, nausea, vomiting, and abdominal pain (especially children)
·         Erythema/inflammation of the tonsils and pharynx with or without patchy exudates
·         Enlarged, tender lymph nodes
·         Red swollen uvula, petechiae on the soft palate, and a scarlatiniform rash
·         Several symptoms that are not suggestive of group A streptococci are cough, conjunctivitis, coryza, and diarrhea
Signs Suggestive of Viral Origin for Pharyngitis
·         Conjunctivitis
·         Coryza
·         Cough
·         Diarrhea
Laboratory Tests
·         Throat swab and culture
·         Rapid antigen detection testing (RADT)


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References
Wells BG, DiPiro J, Schwinghammer T (2013), Pharmacotherapy Handbook (6th Ed). New York, NY: McGraw-Hill.

DiPiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey ML, (2008): Pharmacotherapy: A Pathophysiologic Approach (7th ed): New York, NY: McGraw-Hill.

Katz M D., Matthias KR., Chisholm-Burns M A., Pharmacotherapy(2011) Principles & Practice Study Guide: A Case-Based Care Plan Approach: New York, NY: McGraw-Hill.

Schwinghammer TL, Koehler JM (2009) Pharmacotherapy Casebook: A Patient-Focused Approach (7th ed): New York, NY: McGraw-Hill.
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