Sore throat

Question 1

What causes sore throat ?

Answer 1

Viral / bacteria infections

1. Tonsillitis
2. Laryngitis
3. Strep Throat - caused by streptococcus bacteria
4. Glandular fever

Question 2

Symptoms of sore throat ?

Answer 2

1. Discomfort swallowing
2. inflammation
3. redness
4. swollen glands
5. soreness of back of throat - ?tonsils
6. Tonsillar exudate - fluid excreted by tonsils in repsonse to inflammation

Question 3

What can we use to distinguish severity of sore throat ?

Answer 3

FEVERPAIN

Question 4

5 Criteria of FEVERPAIN

Answer 4

1. Fever +38
2. Purulence (pus)
3. Attend Rapidly
4. Severly Inflammed Tonsils
5. No cough /coryza

Question 5

Red flags for sore throat

Answer 5

• diff breathing
• diff swallowing
• immunosupression
• severe/persistent symptoms

Question 6

Treatment

Answer 6

1st line - Ibuprofen / paracetamol
lozenges / local anaesthetics (i.e Bencocaine)

Antibacterial = - benzalkonium / amylmetacresol / hexylresorcinol

Question 7

When to give AB with sore throat ?

Answer 7

FEVERPAIN = 4-5 and if systemically unwell

Question 8

What antibiotics do you give fore sore throat ?

Answer 8

1st line = phenoxymethylpenicillin

2nd = Clarithromycin / erythromycin

Question 9

How many tonsils do you have ?

Answer 9

4

Question 10

Name 4 tonsils ?

Answer 10

1. Palatine Tonsil
2. Pharyngeal Tonsil
3. Tubal Tonsil
4. Lingual Tonsil

Question 11

Local anaesthetic

Answer 11

Benococaine