Diferencia entre revisiones de «Streptococcal pharyngitis»

Sin resumen de edición
Sin resumen de edición
Línea 1: Línea 1:
==Background==
==Background==
Most common in children aged 4-7 years
*Likelihood of streptococcal pharyngitis in pts presenting with sore throat


==Diagnosis==
==CENTOR CRITERIA==
===CENTOR CRITERIA===
#History of fever
#History of fever
#Absence of cough
#Absence of cough
#LAD
#Lymphadenopathy
#Tonsillar exudate
#Tonsillar exudate


==DDx==
==DDx==
#viral pharyngitis
#Viral pharyngitis
#PTA
#PTA
#retropharyngeal abscess
#Retropharyngeal abscess
#GC pharyngitis
#GC pharyngitis


Línea 47: Línea 46:


=== Antibiotics ===
=== Antibiotics ===
 
*PCN (erythro if allergic)
PCN (erythro if allergic)


==See Also==
==See Also==
See Peritonsilar Abscess
*[[Peritonsilar Abscess]]


==Source==
==Source==
3/19/06 DONALDSON (Adapted from Rosen)
*Rosen's


[[Category:ENT]]
[[Category:ENT]]
[[Category:ID]]
[[Category:ID]]

Revisión del 11:37 21 nov 2011

Background

  • Likelihood of streptococcal pharyngitis in pts presenting with sore throat

CENTOR CRITERIA

  1. History of fever
  2. Absence of cough
  3. Lymphadenopathy
  4. Tonsillar exudate

DDx

  1. Viral pharyngitis
  2. PTA
  3. Retropharyngeal abscess
  4. GC pharyngitis

Treatment

CENTOR: CDC Guidelines for adults >15yrs old

Points
Treatment
4
Rx presumptive
3
Rx Presumptive
2
Rapid Strep Test^
1
Do not test/treat
0
Do not test/treat

3 criteria = 40% PPV

4 criteria = 50% PPV

^No need for cultures after neg rapid test

Antibiotics

  • PCN (erythro if allergic)

See Also

Source

  • Rosen's