Pharyngitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]

Overview

Patients with pharyngitis typically have low-grade fever and pharyngeal erythema, suggestive of viral etiology or pharyngeal exudate or petechia, suggestive of group A streptococcus. Additional signs include enlarged edematous tonsils, enlarged and/or tender cervical adenopathy, rash may or may not be present. Scarlatiniform rash, which is marked by multiple small red papules that are widely and diffusely distributed but spare the palms and soles, is suggestive of GAS.

Physical Examination

Vital Signs

Skin

By The original uploader was Estreya at English Wikipedia - Transferred from en.wikipedia to Commons., CC BY 2.5, https://commons.wikimedia.org/w/index.php?curid=2050898

HEENT

Viral pharyngitis

Streptococcal pharyngitis

By James Heilman, MD - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=11596322

Diphtherial pharyngitis

Diphtheria pharyngitis with pseudomembrane in the left side of posterior pharynx - By User:Dileepunnikri - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=27093567

Heart

  • Heart murmur associate with rheumatic fever due to streptococcal pharyngitis.

Abdomen

Neck

  • Cervical adenopathy

Reference

  1. 1.0 1.1 1.2 Bisno AL (2001) Acute pharyngitis. N Engl J Med 344 (3):205-11. DOI:10.1056/NEJM200101183440308 PMID: 11172144
  2. Vincent MT, Celestin N, Hussain AN (2004) Pharyngitis. Am Fam Physician 69 (6):1465-70. PMID: 15053411

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