Sore throat resident survival guide (pediatrics): Difference between revisions

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Diagnostic Tests
• Rapid strep test (if available)


• Rapid strep test (if available) • Throat swab for culture and sensitivity • If the child is greater than 2 years old, culture the throat before treatment or do rapid Strep antigen test (if available); if negative, do throat culture. • Monospot if suspect vira
• Throat swab for culture and sensitivity
 
• If the child is greater than 2 years old, culture the throat before treatment or do rapid Strep antigen test (if available); if negative, do throat culture.
 
• Monospot if suspect vira


==Treatment==
==Treatment==

Revision as of 05:00, 17 August 2020


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

Sore throat resident survival guide (pediatrics) Microchapters
Overview
Causes
FIRE
Diagnosis
Treatment
Do's
Don'ts

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Bacteria

  • Streptococcus( group A beta-haemolytic )
  • Haemophilus influenzae
  • Moraxella catarrhalis

viruses[1]

  • Rhinovirus.
  • coronavirus.
  • respiratory syncytial virus.
  • metapneumovirus.
  • Epstein–Barr virus.

chemical irritation[1]

  • nasogastric tubes.
  • smoke.

FIRE: Focused Initial Rapid Evaluation


Table 1

Clinical signs and symptoms of GABSH pharingitis , their sensitivity and specificity [5]

Symptoms and Clinical Findings Sensitivity (%) Specificity (%)
Absence of cough 51-79 36-68

Anterior cervical nodes swollen or enlarged 55-82 34-73

Headache 48 50-80

Myalgia 49 60

Palatine petechiae 7 95

Pharyngeal exudates 26 88

Fever >38°C 22-58 52-92

Tonsillar exudate 36 85


Table 2

Clinical Score for GABSH pharyngitis.

Reference Clinical signs and symptoms Sensibility (%) Specificity (%)
[37] Recent exposure to GABHS, pharyngeal exudate, enlarged or tender cervical nodes, fever 55 74

[38] Season, age, white cells count, fever, absence of cough, enlarged cervical nodes, tonsillar exudate or swelling 68 85

[39] Swollen and tender anterior cervical nodes, tonsillar exudate 84 40

[40] Fever, cervical nodes enlargement, tonsillar exudate or swelling or hypertrophy, Absence of cough 63 67

[41] Season, age, fever, enlarged cervical nodes, tonsillar exudate or swelling or hypertrophy, absence of cough or rhinitis or conjunctivitis 22 93

[42] Tonsillar hypertrophy, enlarged cervical nodes, absence of rhinitis, scarlet fever rash 18 97

Complete Diagnostic Approach

• Rapid strep test (if available)

• Throat swab for culture and sensitivity

• If the child is greater than 2 years old, culture the throat before treatment or do rapid Strep antigen test (if available); if negative, do throat culture.

• Monospot if suspect vira

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References

  1. 1.0 1.1


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