Sore throat Flashcards
what does it encompass?
pharyngitis, tonsillitis, laryngitis
mx
paracetamol or ibuprofen for pain relief
antibiotics are not routinely indicated
there is some evidence that a single dose of oral corticosteroid may reduce the severity and duration of pain, although this has not yet been incorporated into UK guidelines
mx
paracetamol or ibuprofen for pain relief
antibiotics are not routinely indicated
there is some evidence that a single dose of oral corticosteroid may reduce the severity and duration of pain, although this has not yet been incorporated into UK guidelines
NICE indications for antibiotics
features of marked systemic upset secondary to the acute sore throat
unilateral peritonsillitis
a history of rheumatic fever
an increased risk from acute infection (such as a child with diabetes mellitus or immunodeficiency)
patients with acute sore throat/acute
pharyngitis/acute tonsillitis when 3 or more Centor criteria are present
what is the scoring system?
cantor criteria
feverpain criteria
what is involved in the censor criteria?
score 1 point for each (maximum score of 4)
presence of tonsillar exudate
tender anterior cervical lymphadenopathy or lymphadenitis
history of fever
absence of cough
what does the fever pain criteria involved?
are: score 1 point for each (maximum score of 5)
Fever over 38°C.
Purulence (pharyngeal/tonsillar exudate).
Attend rapidly (3 days or less)
Severely Inflamed tonsils
No cough or coryza
what does the fever pain criteria involved?
are: score 1 point for each (maximum score of 5)
Fever over 38°C.
Purulence (pharyngeal/tonsillar exudate).
Attend rapidly (3 days or less)
Severely Inflamed tonsils
No cough or coryza
what antibiotics are recommended?
phenoxymethylpenicillin or clarithromycin (if the patient is penicillin-allergic) should be given. Either a 7 or 10 day course should be given
