A Clinical Approach to a Sore Throat
Is it strep throat, viral pharyngitis, infectious mononucleosis, or something else? Here is my approach to a patient with a sore throat. If you want to learn how to recognize life-threatening infections like sepsis and CNS infections as early as possible, I highly recommend you take my free online course! A Clinical Approach to Serious Infections in Adults: What Every Physician Should Know: https://drviktorkotarski.podia.com/re... And if you want to truly master antibiotics and learn how to use them to treat the most common and most severe infections with confidence, here is a link to my online course, which includes the first three crucial lessons: ANTIBIOTICS IN CLINICAL PRACTICE (Demo version with PDF summaries) https://drviktorkotarski.podia.com/an... DISCLAIMER: Please, always keep in mind that my videos are intended for educational purposes only. The content of my videos is NOT medical advice. I do not practice medicine over the internet. If you are a patient and have any questions about your health, please talk to your doctor. CHAPTERS: 00:00 Symptoms of viral pharyngitis vs. strep throat 01:25 Centor criteria 04:01 Mimickers of strep throat in adults 04:50 Centor score and the probability of strep throat 05:24 When to start antibiotics? 06:35 Throat swab, rapid tests, culture 07:07 Infectious mononucleosis vs. strep throat 08:40 Mimickers of infectious mononucleosis 09:36 Respiratory viruses that you should not miss 11:13 Life-threatening causes of throat pain REFERENCES & RECOMMENDED READING: 1. Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases. 2012 Nov 15;55(10):e86–102. 2. Pelucchi C, Grigoryan L, Galeone C, Esposito S, Huovinen P, Little P, et al. Guideline for the management of acute sore throat: ESCMID Sore Throat Guideline Group. Clinical Microbiology and Infection. 2012 Apr 1;18:1–27. 3. Recommendations | Sore throat (acute): antimicrobial prescribing | Guidance | NICE [Internet]. NICE; 2018 [cited 2023 Apr 2]. Available from: https://www.nice.org.uk/guidance/ng84...
