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Updated: Nov 27 2017

Pharyngitis

Group A Strep Throat 
 
Presentation
Evaluation
Treatment
Image
  • High fever 
  • Severe sore throat
  • No cough
  • Edematous tonsils with white or yellow exudate
  • Cervical adenopathy
  • Antigen agglutination kit for screening 
  • Throat swab culture is gold standard
  • Penicillin to prevent acute rhuematic fever 
    • if allergic, erythromycin or first-generation cephalosporinundefined
Photo
 
Membranous Pharyngitis (Diphtheria)
 
Presentation
Evaluation
Treatment
Image
  • Rare in US due to immunization
  • High fever
  • dysphagia
  • drooling
  • respiratory distress
  • Pathognomonic gray membrane on tonsil and throat
  • STAT antitoxin
Photo
 
Fungal Pharyngitis (Candida)
 
Presentation
Evaluation
Treatment
Image
  • Sore throat
  • Dysphagia
  • Seen in AIDS patients and small children
  • Cheesy white patches in oralpharnyx
  • Clinical or endoscopy
  • Nystatin swish and swallow
Photo
 
Pharyngoconjunctival Fever (Adenovirus)
 
Presentation
Evaluation
Treatment
Image
  • Sore throat
  • Fever
  • Red eye
  • Clinical
  • Supportive
Photo
 
Herpangina (Coxsackie A)
 
Presentation
Evaluation
Treatment
Image
  • Fever
  • Pharyngitis
  • Body ache
  • Tender vesicles along tonsils, uvula, and soft palate
  • Clinical
  • Supportive
Photo
 
Mononucleosis (EBV)
 
  • Mononucleosis Photo

References

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