![]() However,Ī child who is drooling, refusing to lay back and\or leaning forward, in severe distress, obvious agitation (beyond that expected from fear of white coats), confusion, or lethargy, all suggest a serious or life-threatening illness and require This child isunlikely to be suffering from a serious or life-threatening cause of a sore throat. Upon entering the room, check to see if the child is sitting comfortably in the parent’s lap or playing on their parent’s cell phone. However, hypoxemia, hypotension and\or significant tachypneaĪre not and suggests another process may be present. Fever and tachycardia are common findings in pediatric patients with acute pharyngitis. The initial evaluation of any patient with a chief complaint of sore throat, as with any ED patient, should beginīefore entering the room, quickly review the chief complaint, nurse’s note, and vital signs. The focus of the primary survey is to identify those children with serious and potentially life-threatening “sore throats”. Gastro-esophageal reflux, cigarette smoke, mouth breathing Respiratory illness, unclear importance in pharyngitis Lemierre syndrome (septic thrombophlebitis of internal jugular vein) Upper respiratory illness, conjunctivitis Life-threatening diseases that may initially masquerade as a “sore throat”. Although typically self-limited and uncomplicated, the clinician must be alert for the rare and potentially (Table 1) Group A streptococci (GAS) is the most commonīacterial etiology (15 to 35 percent) of pediatric pharyngitis and the one for which treatment with antibiotic therapy is generally recommended. (1) Acute pharyngitis is caused by a wide range of etiologies with viruses estimated to cause 80 to 90 percent of cases. Were under the age of 15 (~ 2.8% of all ED visits for this age group). It was the principle diagnosis of approximately 1.8 million ED visits in 2010, of which nearly 700,000 Discuss the management of Group A streptococcal pharyngitisĪcute pharyngitis (defined as an inflammation of the mucous membranes of the pharynx) is a frequent complaint seen in the Emergency Department (ED).Discuss the evaluation of the “sore throat”.List common etiologies of pediatric pharyngitis.Upon finishing this module, the student will be able to: SAEMF/CDEM Innovations in Undergraduate Emergency Medicine Education GrantĬareer Development and Mentorship CommitteeĬommunications and Social Media Committee Presidential Address: Where Do We Go From Here?ĮMF/SAEMF Medical Student Research Training Grant Virtual Rotation and Educational ResourcesĬommittee Update: NBME EM Advanced Clinical Examination Task Force Visit us on Twitter LinkedIn Facebook YouTubeĮffective Consultation in Emergency Medicine Video ![]()
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