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Flow Chart - Managing a sore throat

A practical flowchart for managing a sore throat from an ENT SHO's perspective.  
Dr Garry Pettet
over 6 years ago
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52

Tonsillitis

Epidemiology and Aetiology 70% viral 30% bacterial 90% will recover within a week without treatment Common in children age 5-10 and young adults age 15-25 Caused by Group A streptococcus. This is carried in normal healthy throats in the general population. Rates of carriage decline with age, from about 10% of under 14’s to  
almostadoctor.com - free medical student revision notes
about 3 years ago
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treatment-acute-pharyngitis

At 14 million outpatient visits each year pharyngitis (sore throat) is a common complaint in any emergency department. This is an arena, however, where professional society guidelines and conventional teaching do not do justice to the existing data. We scoured the world’s literature for high quality data, and offer a comprehensive review of potential benefits and harms of antibiotic and symptom therapy for streptococcal pharyngitis.  
smartem.org
about 2 years ago
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Strong heart despite serious sickness

At 11 years old, Feleti Kite went from having a sore throat, to not being able to get out of bed.   
stuff.co.nz
almost 2 years ago
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treatment-acute-pharyngitis

At 14 million outpatient visits each year pharyngitis (sore throat) is a common complaint in any emergency department. This is an arena, however, where professional society guidelines and conventional teaching do not do justice to the existing data. We scoured the world’s literature for high quality data, and offer a comprehensive review of potential benefits and harms of antibiotic and symptom therapy for streptococcal pharyngitis.  
smartem.org
about 2 years ago
8
1
36

Renal MCQ

A 42 year old man develops a sore throat. He does not consult his GP but takes some over the counter painkillers and an anti-inflammatory. 1 week later he has a non itchy rash starting on his feet then spreading to his trunk. The rash has the appearance of tiny teardrops. He is correctly diagnosed with guttate psoriasis. The patient is put on penicillin orally 250mg QDS for 1 week. He then starts passing small volumes of urine. His urine is described as "orangey brown" . He continues taking a non steroidal anti inflammatory drug (ibuprofen 800mg TDS). What is the most likely explanation for this? a. Post infective glomerulonephritis b. Rheumatic fever c. Secondary to penicillin d. Interstitial nephritis secondary to anti inflammatory medication  
Af Del
over 3 years ago
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Tonsillectomy in childhood to prevent tonsillitis may reduce the risk for HPV-related tonsil cancer

Undergoing prophylactic childhood tonsillectomy reduced the future risk for tonsil carcinoma diagnosis, according to the results of a study published in Cancer Prevention Research, a...  
medicalnewstoday.com
about 2 years ago
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Sore throat may be a sign of serious illness in young adults

Sore throat may be a sign of a bacterial infection in young adults between the ages of 15 and 30, even if they test negative for strep, according to a paper being published in Annals of...  
medicalnewstoday.com
about 2 years ago
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Could a Sore Throat Indicate Something More Serious? CME/CE

: Pharyngitis in young adults with negative test results for streptococcal infection could indicate an infection with Fusobacterium necrophorum, which can lead to serious complications.  
medscape.org
about 2 years ago
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Lab Case 57

A 19 year old girl presents with a sore throat and feeling generally unwell. She has difficulty swallowing. On examination – her tonsils are enlarged and inflamed.  
emergucate.com
about 2 years ago
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Antibiotics for preventing recurrent sore throat | Cochrane

Recurrent sore throat is an inflammation of the throat occurring three or more times per year. Sore throat has many causes, including bacteria, viruses, fungi (uncommonly) and non-infective causes. It causes throat pain, redness, swelling, swollen lymph nodes and symptoms of other accompanying respiratory infections. Antibiotics are sometimes used to prevent recurrent sore throat on the basis that sore throats can be caused by bacteria. However, frequent use of antibiotics has been linked to the development of antibiotic resistance. We looked for studies (randomised controlled trials) that investigated the effectiveness of antibiotics for preventing recurrent sore throat in adults and children.  
cochrane.org
almost 2 years ago
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Imaging Case of the Week 163

The following lateral neck x-ray is from a 40 year old with fever, sore throat and difficulty swallowing. What can be seen?  
emergucate.com
almost 2 years ago