Strep throat physical examination: Difference between revisions

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__NOTOC__
__NOTOC__
{{Strep throat}}
{{Strep throat}}
{{CMG}}{{AE}}{{AA}}
{{CMG}}; {{AE}} {{AA}}
==Overview==
==Overview==
Common physical examination findings of Strep throat include [[fever]] (101F), pharyngeal [[erythema]], tonsillar erythema, tonsillar [[hypertrophy]] with or without exudate, palatal [[petechiae]], anterior cervical [[lymphadenopathy]], inflamed [[uvula]], scarlatiniform rash<ref name=cdcp>http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref><ref name="pmid18245412">{{cite journal| author=Pfoh E, Wessels MR, Goldmann D, Lee GM| title=Burden and economic cost of group A streptococcal pharyngitis. | journal=Pediatrics | year= 2008 | volume= 121 | issue= 2 | pages= 229-34 | pmid=18245412 | doi=10.1542/peds.2007-0484 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18245412  }} </ref><ref name="pmid22965026">{{cite journal| author=Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G et al.| title=Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2012 | volume= 55 | issue= 10 | pages= e86-102 | pmid=22965026 | doi=10.1093/cid/cis629 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22965026  }} </ref>
Common physical examination findings of strep throat include [[fever]] (101F), [[pharyngeal]] [[erythema]], tonsillar [[erythema]], tonsillar [[hypertrophy]] with or without exudate, palatal [[petechiae]], anterior cervical [[lymphadenopathy]], inflamed [[uvula]], scarlatiniform rash.<ref name="cdcp">http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref><ref name="pmid18245412">{{cite journal| author=Pfoh E, Wessels MR, Goldmann D, Lee GM| title=Burden and economic cost of group A streptococcal pharyngitis. | journal=Pediatrics | year= 2008 | volume= 121 | issue= 2 | pages= 229-34 | pmid=18245412 | doi=10.1542/peds.2007-0484 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18245412  }} </ref><ref name="pmid22965026">{{cite journal| author=Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G et al.| title=Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2012 | volume= 55 | issue= 10 | pages= e86-102 | pmid=22965026 | doi=10.1093/cid/cis629 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22965026  }} </ref>


==Physical examination==
==Physical examination==
Common physical examination findings of Strep throat include:<ref name=cdcp>http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref><ref name="pmid18245412">{{cite journal| author=Pfoh E, Wessels MR, Goldmann D, Lee GM| title=Burden and economic cost of group A streptococcal pharyngitis. | journal=Pediatrics | year= 2008 | volume= 121 | issue= 2 | pages= 229-34 | pmid=18245412 | doi=10.1542/peds.2007-0484 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18245412  }} </ref><ref name="pmid22965026">{{cite journal| author=Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G et al.| title=Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2012 | volume= 55 | issue= 10 | pages= e86-102 | pmid=22965026 | doi=10.1093/cid/cis629 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22965026  }} </ref>
Common physical examination findings of Strep throat include:<ref name="cdcp">http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref><ref name="pmid18245412">{{cite journal| author=Pfoh E, Wessels MR, Goldmann D, Lee GM| title=Burden and economic cost of group A streptococcal pharyngitis. | journal=Pediatrics | year= 2008 | volume= 121 | issue= 2 | pages= 229-34 | pmid=18245412 | doi=10.1542/peds.2007-0484 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18245412  }} </ref><ref name="pmid22965026">{{cite journal| author=Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G et al.| title=Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2012 | volume= 55 | issue= 10 | pages= e86-102 | pmid=22965026 | doi=10.1093/cid/cis629 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22965026  }} </ref>
===Children >3 yrs===
===Children >3 yrs===
*[[Fever]] (101F)
*[[Fever]] (101F)
*Pharyngeal [[erythema]]  
*[[Pharyngeal]] [[erythema]]  
*Tonsillar erythema
*Tonsillar [[erythema]]
*Tonsillar [[hypertrophy]] with or without exudates
*Tonsillar [[hypertrophy]] with or without exudates
*Palatal [[petechiae]]
*Palatal [[petechiae]]
*Anterior cervical [[lymphadenopathy]]
*Anterior cervical [[lymphadenopathy]]
*Inflamed [[uvula]]
*Inflamed [[uvula]]
*Scarlatiniform rash
*Scarlatiniform [[rash]]


===Children <3 yrs===
===Children <3 years of age===
Children <3 yrs does not have typical physical examination findings of acute pharyngitis. However, following findings may suggest GAS pharyngitis:<ref name=cdcp>http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref>  
Children <3 years of age do not have typical physical examination findings of acute [[pharyngitis]]. However, the following findings may suggest GAS pharyngitis:<ref name="cdcp">http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref>  
*Low grade fever
*Low-grade [[fever]]
*Nasal [[congestion]] and erythema
*Nasal [[congestion]] and [[erythema]]
*Nasal discharge
*Nasal discharge


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{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Pediatrics]]
[[Category:Otolaryngology]]

Latest revision as of 00:19, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

Common physical examination findings of strep throat include fever (101F), pharyngeal erythema, tonsillar erythema, tonsillar hypertrophy with or without exudate, palatal petechiae, anterior cervical lymphadenopathy, inflamed uvula, scarlatiniform rash.[1][2][3]

Physical examination

Common physical examination findings of Strep throat include:[1][2][3]

Children >3 yrs

Children <3 years of age

Children <3 years of age do not have typical physical examination findings of acute pharyngitis. However, the following findings may suggest GAS pharyngitis:[1]

Gallery

References

  1. ↑ 1.0 1.1 1.2 http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016
  2. ↑ 2.0 2.1 Pfoh E, Wessels MR, Goldmann D, Lee GM (2008). "Burden and economic cost of group A streptococcal pharyngitis". Pediatrics. 121 (2): 229–34. doi:10.1542/peds.2007-0484. PMID 18245412.
  3. ↑ 3.0 3.1 Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G; et al. (2012). "Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America". Clin Infect Dis. 55 (10): e86–102. doi:10.1093/cid/cis629. PMID 22965026.
  4. ↑ 4.0 4.1 "Public Health Image Library (PHIL)".

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