SORE THROAT

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SORE THROAT
2
Most people don't need antibiotics!
85 get better in a week
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CAUSES

• Viruses 20 (rhino/adeno/parainfluenza)
• Bacteria 17 (GABHS)
• Thrush (post Abx/immunosupressants)
• Chemical irritation (inhaler technique)
• Allergy (dust)
• Smoking (chronic sore throat)
• Cancer
• TB
• Tonsillitis
• Glandular Fever

.which is the most common cause?
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FEVER
Tender anterior cervical nodes
Tonsilar exudates
No cough
CENTOR Criteria
Higher risk GABHS If 3/4 unwell 160 risk
quinsy (1400 if well)
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Treatment

• Stall them! See if it goes away
• Paracetamol gargle/Ibuprofen
• Difflam
• Lozenges
• Penicillin V 500mg qds 10days
• Delayed scripts
• More likely to reattend if given Abx
• Tonsillectomy if gt3/y, gt5/2y

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Glandular Fever

• 98 sore throat, lymphadenopathy, fever
  tonsillar enlargement
• Self Limiting (rest, fluids, antipyretics)
• Dont give Amox as risk rash
• Older people more likely to get hepatomegaly
  jaundice

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Pretty geeky song

• I heard theres sore throat going round
• That brings most people to the ground
• But actually, its just tonsillitis
• It starts with pain and fever too
• Anterior lymph node tenderness
• And all the stuff in Centors criteria
• And you look inside and see the pus
• Its sore and its red
• And then you say, my god, you got tonsillitis
• My poor sore throat
• Could be tonsillitis
• Or glandular fever
• Or just a virus
• My poor sore throat
• Needs penicillin