Sore Throat Flashcards
1
Q
Sore Throat Differentials
A
Strep (CENTOR criteria) Viral pharyngitis Mono Influenza Retropharyngeal abscess
2
Q
Sore Throat ROS
A
Fever Swallowing Swollen glands Range of motion Sick contacts Ear ache or Sinuses Cough Difficulty breathing Rash
3
Q
Sore Throat Plan
A
Mono spot
CBC with differential
Rapid strep with culture
Lateral neck films or Soft tissue cervical CT
4
Q
Sore Throat OMT
A
Thoracic inlet
Cervical soft tissue
5
Q
Sore Throat Exam
A
Press on sinuses Ears Pharynx/ Tonsils Upper palate Cervical lymph nodes Heart/ Lungs Full abdomen with SPLEEN Lower extremities for petechiae or edema
6
Q
CENTOR Strep Criteria
A
* 1 point each Fever Tonsillar exudates Anterior cervical lymphadenopathy Absence of cough Age < 15
7
Q
CENTOR Strep Criteria Scoring Interpretation
A
0-1 no culture or abx
2-3 culture, possible abx
4-5 abx, no culture
