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Are there exudates? This is a key question when evaluating a sore throat. Most cases of sore throat with exudates will be found to have streptococcal pharyngitis. Without exudates, one could still have a ... DIAGNOSTIC WORKUP
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Sore throat is a common symptom. Many patients incorrectly believe that antibiotics improve the clinical course in all sore throats. Although the vast majority of sore throats are of viral origin and should be managed conservatively, an... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Most sore throats and coughs are due to infection. Children may have 5–8 upper respiratory infections per year. The primary differential is between viral and bacterial etiologies, especially group A β-hemolytic streptococcus.
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... Breaking down the orophraynx, nasopharynx, and larynx into anatomic components is not very valuable in developing a differential diagnosis of sore throat. What is useful is to use the mnemonic VINDICATE to establish the etiologies. Further analyzing the differential (because so
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... Mouth lesions include ulcers (the most common type), cysts, firm nodules, hemorrhagic lesions, papules, vesicles, bullae, and erythematous lesions. They may occur anywhere on the lips, cheeks, hard and soft palate, salivary glands, tongue, gingivae, or mucous membranes. Many are... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... Throat pain — commonly known as a sore throat — refers to discomfort in any part of the pharynx: the nasopharynx, the oropharynx, or the hypopharynx. This common symptom ranges from a sensation of scratchiness to severe pain. It’s commonly accompanied by... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... The gag reflex — a protective mechanism that prevents aspiration of food, fluid, and vomitus — normally can be elicited by touching the posterior wall of the oropharynx with a tongue depressor or by suctioning the throat. Prompt elevation of the palate, constriction of the... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Acute poststreptococcal glomerulonephritis (APSGN), also known as acute glomerulonephritis, is a relatively common bilateral inflammation of the glomeruli. It usually follows a streptococcal infection of the respiratory tract or, less often, a... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Streptococci are small gram-positive bacteria, spherical to ovoid in shape, and linked together in pairs or chains. Several species occur as part of normal human flora in the respiratory, GI, and genitourinary tracts. Although researchers have identified 21... Pictures
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... The most common throat disorder, pharyngitis is an acute or chronic inflammation of the pharynx. It frequently accompanies the common cold.
Causes and incidence
Pharyngitis is usually caused by a virus. The most common bacterial cause is group A... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Throat abscesses may be peritonsillar (quinsy) or retropharyngeal. Peritonsillar abscesses form in the connective tissue space between the tonsil capsule and the constrictor muscle of the pharynx. Retropharyngeal abscesses, or abscesses of the potential space, form between the... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Mouth lesions include ulcers (the most common type), cysts, firm nodules, hemorrhagic lesions, papules, vesicles, bullae, and erythematous lesions. They may occur anywhere on the lips, cheeks, hard and soft palate, salivary glands, tongue, gingivae, or mucous membranes. Many... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Throat pain—commonly known as a sore throat—refers to discomfort in any part of the pharynx: the nasopharynx, the oropharynx, or the hypopharynx. This common symptom ranges from a sensation of scratchiness to severe pain. It’s commonly accompanied by ear pain because cranial... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... The gag reflex—a protective mechanism that prevents aspiration of food, fluid, and vomitus—normally can be elicited by touching the posterior wall of the oropharynx with a tongue depressor or by suctioning the throat. Prompt elevation... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Frank S. Celestino
Nearly 5% of all primary care office visits are for “sore throat” (ST) or pharyngitis (1). Only a small minority (10% to 20%) of ST patients are infected with group A β-hemolytic streptococci (GABHS) (2... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Rhinovirus
❑ Group A streptococci
❑ Ebstein-Barr virus
❑ Adenovirus
❑ ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Also called acute glomerulonephritis, acute poststreptococcal glomerlo-nephritis (APSGN) is a relatively common bilateral inflammation of the glomeruli. It follows a streptococcal infection of the respiratory tract or, less commonly, a skin... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Streptococci are small gram-positive bacteria, spherical to ovoid in shape and linked together in pairs of chains. Several species occur as part of normal human flora in the respiratory, GI, and genitourinary tracts. Although researchers have identified 21 species of streptococci, three... Pictures
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... The most common throat disorder, pharyngitis is an acute or chronic inflammation of the pharynx. It’s widespread among adults who live or work in dusty or dry environments, use their voices excessively, habitually use tobacco or alcohol, or suffer from... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Mouth lesions include ulcers (the most common type), cysts, firm nodules, hemorrhagic lesions, papules, vesicles, bullae, and erythematous lesions. They may occur anywhere on the lips, cheeks, hard and soft palate, salivary glands, tongue, gingivae, or mucous... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Throat pain — also known as a sore throat — refers to discomfort in any part of the pharynx: the nasopharynx, the oropharynx, or the hypopharynx. This common symptom ranges from a sensation of scratchiness to severe pain. It&rsquo... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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...Sore throat refers to any painful sensationof the pharynx or surrounding tissues and is a common complaintin childhood and adolescence. Principal Causes of Sore Throat Infection Pharyngitis/tonsillitis Viral ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Mouth lesions include ulcers (the most common type), cysts, firm nodules, hemorrhagic lesions, papules, vesicles, bullae, and erythematous lesions. They may occur anywhere on the lips, cheeks, hard and soft palate, salivary glands, tongue,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Throat pain—commonly known as a sore throat—refers to discomfort in any part of the pharynx: the nasopharynx, the oropharynx, or the hypopharynx. This common symptom ranges from a sensation of scratchiness to severe pain. It's commonly accompanied... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... The gag reflex—a protective mechanism that prevents aspiration of food, fluid, and vomitus—normally can be elicited by touching the posterior wall of the oropharynx with a tongue blade or by suctioning the throat. Prompt elevation of the... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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Breaking down the oropharynx, nasopharynx, and larynx into anatomic
components is not very valuable in developing a differential diagnosis of
sore throat. What is useful is to use the mnemonic VINDICATE to
establish the etiologies. Further analyzing the... Pictures
... READ EXCERPTS »
... Mark L. Bagarazzi, MD Pharyngitis - BASICS Pharyngitis - description Pharyngitis (i.e., sore throat) is an inflammation of the mucous membranes and underlying structures of the pharynx and tonsils, usually secondary to... Pharyngitis - DIAGNOSIS ... Pharyngitis - TREATMENT ... Pharyngitis - FOLLOW UP ... Pharyngitis - bibliography ... Pharyngitis - CODES ... Pharyngitis - FAQ
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