Pharyngitis physical examination

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

Physical Examination

Vital Signs

• High/ low grade fever

Skin

• Scarlatiniform rash

HEENT

• Sterptococcal pharyngitis- Pharynx shows erythema, hypertrophy, foreign body, tonsilar exudates, masses, Soft-palate petechiae(“doughnut” lesions), and Beefy red, swollen uvula.
• Diphtheria- Grayish brown diphtheritic pseudomembrane which may involve one or both tonsils or may extend widely to involve the nares, uvula, soft palate, pharynx, larynx, and tracheobronchial tree.

Heart

• Heart murmur associate with streptococcal pharyngitis.

Abdomen

• Hepatospleenomegaly: Associate with pharyngitis caused by group A streptococcus, Infectious mononucleosis.

Neck

• Cervical adenopathy

Diphtheria: Examination reveals a serosanguineous nasal discharge and a grayish-white pharyngeal membrane (exudative and extending to the uvula and soft palate) in association with pharyngitis, tonsillitis, and cervical lymphadenopathy.