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

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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