Sore Throat
Age: years old
Gender:
HISTORY:
Presents with a - history of sore throat
Rated at / 10
Described as
Radiation to
Pattern
Worsening factors:
Alleviating factors: ,
Contact with individual with strep throat:
Associated symptoms: *Try using right-click for negatives*
, of phlegm
,
,
, up to °, over
, , , ,
Contributing factors:
no history of: , , ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Eyes: conjunctiva/sclera , lids/lashes
Ears: tympanic membranes , auditory canal on , hearing
Nose: , discharge ,
Throat: , , ,
Neck: , , , c-spine
Heart: , ,
Lungs: , ,
Skin: on
ASSESSMENT:
DDx: viral pharyngitis, bacterial pharyngitis, acute sinusitis, postnasal drip, allergic rhinitis, GERD, tonsillitis, mononucleosis, laryngopharyngeal reflux, HIV acute infection, thrush, herpangina, diphtheria, peritonsillar abscess, retropharyngeal abscess, throat cancer, foreign body in the throat, smoking-related irritation
PLAN:
Investigations:
- Rapid strep test
- Throat swab
- Chlamydia and gonorrhea throat swab
- Blood work: , , , ,
Treatments:
-
-
- Dexamenthasone 10mg po once
- Tantum lozenges
- Salt water gargles 4 times daily
- Rest and hydration
- Limit contact with others
Further care:
- Follow-up in
- Return if not better after 72 hrs or before if worsens
- Referral to ENT specialist if symptoms persist
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: