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Condition Info
ConditionName
Tonsillopharyngitis (Tonsillitis; Pharyngitis)
ConditionDescription
Symptoms
Sore throat; Lymphadenopathy; Nasal congestion; Fever; HA, GI; Red and swollen pharynx; Tonsillar exudates; ABSENCE OF COUGH (lung) and HORSENESS (laryngitis)!!! Centor criteria: C - cough; E - exudate; N - nodes; T - temperature; OR - age <15 y/o +1 >44 y/o -1 0-1 no treatment 2-3 culture-antibiotic 4-5 empirically
PhysicalFindings
ClinicalTests
Most accurate: culture (can use positive rapid strep test); Negative RST – for adult it’s negative. For child – not 100%;
RiskFactors
IsRedFlag
IsNPLEX
Consequence
Rheumatic fever; Post strep glomerulonephritis; Tonsillitis;
ProgressionFromCondition
Causes: Rhinovirus; Coronavirus; Adenovirus; Group A beta-hemolytic strep;
TreatmentOptions
Self limited;
PharmOptions
Beta-lactam (penicillin, amoxicillin)
WebLink
https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/oral-and-pharyngeal-disorders/tonsillopharyngitis
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