Related Subjects:
|Acute Epiglottitis
|Croup
|Acute Tracheitis
|Stridor
Airway management is always key concern so don't hesitate to get help if concerned. A sore throat in an immunocompromised patient or someone on antithyroid medication could suggest neutropenia and needs an FBC
Cause
Details
Infection EBV/CMV/HSV1
Age 15-30. Immunocompromised, children. Fever, malaise, headache, sore throat. Swollen Tonsils have exudate. Cervical lymph nodes. Fatigue, enlarged spleen/liver. Monospot positive if EBV. Management is supportive. Avoid Ampicillin.
HIV seroconversion
Similar to above
Stomatitis/Sore throat
Usually HSV1/Coxsackie infection. Severe vesicles and pain. Children and young adults. Can affect oral cavity and severe pain with eating.
Bacterial pharyngitis
Fever, pain swallowing, pain, headache, nausea, vomiting. Rash, Fever > 38.3. Enlarged swollen tonsils and exudate. Palatal petechiae. Stridor.
Diphtheria
As above plus membrane and bull neck. Cardiac problems
Epiglottis
More common in Afro-Caribbean, rapid onset severe sore throat. Pain swallowing. May have been unwell for 1-2 days. Toxic, high fever, tongue out, muffled voice, tripod or sniffing position, tender over hyoid and front of the neck. Lateral neck X-ray shows thumbprint signs. Get ENT and anaesthetic help for airway management. Bacterial. Laryngoscopy when stable.
Croup
Infants and toddlers, spring and autumn. Inspiratory stridor. No pain swallowing or drooling. Parainfluenza, Influenza and RSV
Chemical burn
History of ingestion and pain after. Severe inflammatory changes.
Laryngitis
Hoarseness and mild symptoms. Examination normal.
Lemierre's syndrome
Severe pain, bacterial infection, jugular vein thrombosis. See topic
Bacterial tracheitis
Cough and retrosternal ache with a viral prodrome. May have a fever. May mimic epiglottitis
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Causes of Sore throat
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