Pharyngitis physical examination: Difference between revisions
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== Overview == | == 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 [[Tonsillitis|enlarged edematous tonsils]], enlarged and/or tender [[Cervical lymph nodes|cervical adenopathy,]] [[rash]] may or may not be present. [[Scarlet Fever|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 [[Group A streptococcal infection|GAS]]. | 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 [[Tonsillitis|enlarged edematous tonsils]], enlarged and/or tender [[Cervical lymph nodes|cervical adenopathy,]] [[rash]] may or may not be present. [[Scarlet Fever|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 [[Group A streptococcal infection|GAS]]. | ||
== Physical Examination == | == Physical Examination == | ||
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==Reference== | ==Reference== | ||
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[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Inflammations]] | [[Category:Inflammations]] | ||
[[Category:Otolaryngology]] | [[Category:Otolaryngology]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Up-To-Date]] | [[Category:Up-To-Date]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Immunology]] | [[Category:Immunology]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
Latest revision as of 20:48, 9 December 2020
Pharyngitis Microchapters |
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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
- High/ low-grade fever
Skin
- Scarlatiniform rash associated with GAS, Arcanobacterium haemolyticum[1]
HEENT
Viral pharyngitis
Streptococcal pharyngitis
Diphtherial pharyngitis
- Pharynx shows erythema, hypertrophy, tonsilar exudates, masses, Soft-palate petechiae (“doughnut” lesions), and beefy red, swollen uvula associate with Streptococcal pharyngitis.[2][1]
- Grayish brown diphtheritic pseudomembrane which may involve one or both tonsils or may extend widely to involve the nares, uvula, soft palate, pharynx, larynx, and tracheobronchial tree associate with Corynebacterium diphtheria.[1]
- Conjunctivitis and periauricular lymphadenopathy associate with adenoviral infection.
- Blisters or ulcers in the anterior mouth or lips are seen in herpes simplex infection.
Heart
- Heart murmur associate with rheumatic fever due to streptococcal pharyngitis.
Abdomen
- Hepatospleenomegaly: associate with pharyngitis caused by group A streptococcus, infectious mononucleosis
Neck
- Cervical adenopathy
Reference
- ↑ 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
- ↑ Vincent MT, Celestin N, Hussain AN (2004) Pharyngitis. Am Fam Physician 69 (6):1465-70. PMID: 15053411