Pharyngitis physical examination: Difference between revisions

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=== HEENT ===
=== HEENT ===
* Pharynx shows erythema, hypertrophy, foreign body, tonsilar exudates, masses, Soft-palate petechiae(“doughnut” lesions), and Beefy red, swollen uvula.<ref name="pmid15053411">Vincent MT, Celestin N, Hussain AN (2004) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=15053411 Pharyngitis.] ''Am Fam Physician'' 69 (6):1465-70. PMID: [https://pubmed.gov/15053411 15053411]</ref><ref name="pmid11172144">Bisno AL (2001) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=11172144 Acute pharyngitis.] ''N Engl J Med'' 344 (3):205-11. [http://dx.doi.org/10.1056/NEJM200101183440308 DOI:10.1056/NEJM200101183440308] PMID: [https://pubmed.gov/11172144 11172144]</ref>
* Sterptococcal pharyngitis- Pharynx shows erythema, hypertrophy, foreign body, tonsilar exudates, masses, Soft-palate petechiae(“doughnut” lesions), and Beefy red, swollen uvula.<ref name="pmid15053411">Vincent MT, Celestin N, Hussain AN (2004) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=15053411 Pharyngitis.] ''Am Fam Physician'' 69 (6):1465-70. PMID: [https://pubmed.gov/15053411 15053411]</ref><ref name="pmid11172144">Bisno AL (2001) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=11172144 Acute pharyngitis.] ''N Engl J Med'' 344 (3):205-11. [http://dx.doi.org/10.1056/NEJM200101183440308 DOI:10.1056/NEJM200101183440308] PMID: [https://pubmed.gov/11172144 11172144]</ref>
* Diphtheria- 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.<ref name="pmid11172144">Bisno AL (2001) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=11172144 Acute pharyngitis.] ''N Engl J Med'' 344 (3):205-11. [http://dx.doi.org/10.1056/NEJM200101183440308 DOI:10.1056/NEJM200101183440308] PMID: [https://pubmed.gov/11172144 11172144]</ref>


=== Heart ===
=== Heart ===

Revision as of 14:52, 20 December 2016

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Overview

Physical Examination

Vital Signs

  • High/ low grade fever

Skin

  • Scarlatiniform rash[1]

HEENT

  • Sterptococcal pharyngitis- Pharynx shows erythema, hypertrophy, foreign body, tonsilar exudates, masses, Soft-palate petechiae(“doughnut” lesions), and Beefy red, swollen uvula.[2][1]
  • Diphtheria- 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.[1]

Heart

  • Heart murmur associate with streptococcal pharyngitis.

Abdomen

  • Hepatospleenomegaly: Associate with pharyngitis caused by group A streptococcus, Infectious mononucleosis.

Neck

  • Cervical adenopathy

Diphtheria: Examination reveals a serosanguineous nasal discharge and a grayish-white pharyngeal membrane (exudative and extending to the uvula and soft palate) in association with pharyngitis, tonsillitis, and cervical lymphadenopathy.[2]

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. 2.0 2.1 Vincent MT, Celestin N, Hussain AN (2004) Pharyngitis. Am Fam Physician 69 (6):1465-70. PMID: 15053411

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