quick reference
-[ Centor Criteria](Centor Score (Modified/McIsaac) for Strep Pharyngitis)
- Use only in patients with recent onset (≤3 days) acute pharyngitis.
- Steroids and NSAIDS improve symptoms; antibiotics are often indicated in streptococcal pharyngitis, but do not prevent its suppurative complications, like peritonsillar abscess.
- DDx:
- Mono - EBV
- Viral (rhino/adeno/entero/cytomegalo - virus),
- Herpangina (Cocksackie Virus B)
- Strep Throat (Group A) - peak incidence 5-15yo
- HFMD
- Red Flags
- Uvula Deviation / “Hot potato voice” / globus: peritonsilar abscess, epiglottitis, retropharyngeal abscess
- Torticollis = stiff neck, turned
- Excessive drooling
- Stridor, Acute Resp. Distress
- Unilateral Neck Swelling
pathophysiology
- MC Viral
- Most likely viral - rhinovirus, adenovirus, enterovirus, Epstein-Barr, cytomegalovirus
- Could be bacterial- Group A Beta Strep
epidemiology / etiology
clinical features
- Red
- Exudate
- Pain
- Swelling
diagnosis
- rapid strep/flu/mono as needed