Strep throat physical examination: Difference between revisions
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{{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) | ||
| Line 15: | Line 15: | ||
*Anterior cervical [[lymphadenopathy]] | *Anterior cervical [[lymphadenopathy]] | ||
*Inflamed [[uvula]] | *Inflamed [[uvula]] | ||
*Scarlatiniform rash | *Scarlatiniform [[rash]] | ||
===Children <3 | ===Children <3 years of age=== | ||
Children <3 | 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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Strep throat physical examination On the Web |
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American Roentgen Ray Society Images of Strep throat physical examination |
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Risk calculators and risk factors for Strep throat physical examination |
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
- Fever (101F)
- Pharyngeal erythema
- Tonsillar erythema
- Tonsillar hypertrophy with or without exudates
- Palatal petechiae
- Anterior cervical lymphadenopathy
- Inflamed uvula
- Scarlatiniform rash
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]
- Low-grade fever
- Nasal congestion and erythema
- Nasal discharge
Gallery
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![Inflammation of the oropharynx and petechiae, or small red spots on the soft palate caused by Strep Throat. From Public Health Image Library (PHIL). [4]](/images/5/5d/Group_A_streptococcus26.jpeg)
Inflammation of the oropharynx and petechiae, or small red spots on the soft palate caused by Strep Throat. From Public Health Image Library (PHIL). [4]
-
![Inflammation of the oropharynx and petechiae, or small red spots on the soft palate caused by Strep Throat. From Public Health Image Library (PHIL). [4]](/images/8/83/Group_A_streptococcus25.jpeg)
Inflammation of the oropharynx and petechiae, or small red spots on the soft palate caused by Strep Throat. From Public Health Image Library (PHIL). [4]
![Inflammation of the oropharynx and petechiae, or small red spots on the soft palate caused by Strep Throat. From Public Health Image Library (PHIL). [4]](/index.php/File:Group_A_streptococcus26.jpeg)
![Inflammation of the oropharynx and petechiae, or small red spots on the soft palate caused by Strep Throat. From Public Health Image Library (PHIL). [4]](/index.php/File:Group_A_streptococcus25.jpeg)
References
- ↑ 1.0 1.1 1.2 http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016
- ↑ 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.
- ↑ 3.0 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.
- ↑ 4.0 4.1 "Public Health Image Library (PHIL)".