21. Rapid Diagnosis Of Pharyngitis Caused By Group A Streptococci Rapid Diagnosis of pharyngitis Caused by Group A Streptococci Michael A. Gerber1* and Stanford T. Shulman2 http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

22. Pharyngitis/Tonsillitis Diagnosing strep pharyngitis Review of Dobbs, F. A scoring system for predicting Therapy for pharyngitis and tonsillitis by Group A Betahemolytic http://www.montana.edu/wwwebm/Pharyngitis.htm

Evidence-Based Medicine for Student Health Services Robert J. Flaherty, MD Swingle Student Health Service Montana State University Bozeman, MT 59717 Pharyngitis/Tonsillitis Etiology Monitoring Epidemiology Prognosis ... Patient Education General Information EBM for Student Health Home Page About EBM EBM Resources ... Specific Conditions/Diseases Etiology No evidence is cited. Epidemiology No evidence is cited. Diagnosis Clinical Diagnosis A scoring system Caveats Age group studied: > 4 years Sample Size: Cross-sectional study of 206 patients Population: Patients in Irish GPs' offices Outcome measure: Sensitivity and specificity of the Bayesian scoring system in predicting positive throat culture was compared to that of study clinicians Citations Diagnosing strep pharyngitis: Review of Dobbs, F. A scoring system for predicting group A streptococcal throat infection. Br J Gen Pract 1996; 46: 461-4 - Reviewed by POEMS/JFP Evidence from randomized trials was not found for most questions related to the management of sore throats. Four clinical characteristics (no cough, fever higher than 38 degrees C, exudate, and tender cervical nodes) suggest that a case of pharyngitis would be improved by antibiotic treatment. Use of a clinical score for management of GABHS pharyngitis can be recommended on the basis of the rarity of rheumatic fever in modern society, the resources devoted to management of upper respiratory tract illnesses, the volume of antibiotics prescribed, and the emergence of antibiotic resistance as a growing health issue.

23. JAMA Abstract Empirical Validation Of Guidelines For The Empirical Validation of Guidelines for the Management of pharyngitis in Children and Adults Warren J. McIsaac, MD, MSc http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

24. Pharyngitis pharyngitis; rheumatic fever, strep throat. pharyngitis is common all overthe world. In temperate climates it is most common during the winter and http://www.kcom.edu/faculty/chamberlain/Website/lectures/lecture/uriphyn.htm

Upper Respiratory Tract Infections Return to Syllabus INFECTIONS OF THE UPPER RESPIRATORY TRACT General Goal: To know the major cause(s) of these diseases, how they are transmitted, and the major manifestations of each disease. Specific Educational Objectives The student should be able to: 1. recite the common cause(s) of these disease. 2. describe the common means of transmission. 3. describe the major manifestations of this infection. 4. describe how you diagnose, treat and prevent this infection. Reading: MEDICAL MICROBIOLOGY by P.R. Murray, K.S. Rosenthal, G.S. Kobayashi and M.A. Pfaller, 3rd Edition. page number depends on microorganism. Mosby's Color Atlas and Text of Infectious Diseases by Christopher P. Conlon and David R. Snydman. pp.53-66. Lecture : Dr. Neal R. Chamberlain References: Cherry, CK, CW. Burt, and DA. Woodwell. National Ambulatory Care Survey, 1999. Advance data from vital and health statistics of the national center for health statistics, No. 322. July 17, 2001. U.S. department of Health and Human Services, http://www.cdc.gov/nchs/data/ad/ad322.pdf

25. InteliHealth: Pharyngitis InteliHealth Featuring Harvard Medical School s consumer health information.For more than 550 diseases and conditions, learn What Is It?, Symptoms, http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10538.html

chrome_imgPreload('gifChr_mid_but_home_mo_1','http://img.intelihealth.com/i/C/Chr_mid_but_home-o.gif'); chrome_imgPreload('gifChr_mid_but_comm_mo_2','http://img.intelihealth.com/i/C/Chr_mid_but_comm-o.gif'); chrome_imgPreload('gifChr_mid_but_dental_mo_3','http://img.intelihealth.com/i/C/Chr_mid_but_dental-o.gif'); chrome_imgPreload('gifChr_mid_but_drug_mo_4','http://img.intelihealth.com/i/C/Chr_mid_but_drug-o.gif'); chrome_imgPreload('gifChr_mid_but_askexpert_mo_5','http://img.intelihealth.com/i/C/Chr_mid_but_askexpert-o.gif'); chrome_imgPreload('gifChr_mid_but_medical_mo_6','http://img.intelihealth.com/i/C/Chr_mid_but_medical-o.gif'); chrome_imgPreload('gifChr_mid_but_chats_mo_7','http://img.intelihealth.com/i/C/Chr_mid_but_chats-o.gif'); chrome_imgPreload('gifchr_mid_but_news_mo_8','http://img.intelihealth.com/i/c/chr_mid_but_news-o.gif'); chrome_imgPreload('gifChr_mid_but_privacy_mo_9','http://img.intelihealth.com/i/C/Chr_mid_but_privacy-o.gif'); Advertisement Sore Throat (Pharyngitis) What Is It? Symptoms Diagnosis Expected Duration ... Additional Info What Is It? Because an infection of the pharynx almost always involves the tonsils, tonsillitis (inflammation of the tonsils) was once a common name for infectious pharyngitis.

26. Pharyngitis pharyngitis occurs in all age groups; Streptococcal infection has greatest 462 Acute pharyngitis 463 Acute tonsillitis 472.1 Chronic pharyngitis http://www.5mcc.com/Assets/SUMMARY/TP0684.html

Pharyngitis DESCRIPTION: Inflammation of the pharynx most commonly caused by acute infection. Group A streptococcus is a focus of diagnosis due to its potential for preventable rheumatic sequelae. Chronic low grade symptoms usually related to reflux disease or vocal abuse. System(s) affected: Gastrointestinal Genetics: Individuals with a positive family history of rheumatic fever have a higher risk of rheumatic sequelae following an untreated group A beta hemolytic streptococcal infection Incidence/Prevalence in USA: Estimated 30 million cases diagnosed yearly 11% of all school age children visit a physician annually with pharyngitis 12-25% of sore throats seen by physicians Incidence of rheumatic fever is decreasing with estimate of 64 cases per 100,000 Predominant age: Pharyngitis occurs in all age groups Streptococcal infection has greatest incidence 5 to 18 years of age Predominant sex: Male = Female CAUSES: Acute - bacterial: Group A beta-hemolytic streptococci Neisseria gonorrhoeae Corynebacterium diphtheriae (diphtheria) Haemophilus influenzae Moraxella (Branhamella) catarrhalis Group C and G streptococcus, rarely

27. Acute Pharyngitis. This guideline updates a previous version Acute pharyngitis. The recommendationsfor the management of acute pharyngitis are presented in the form of http://www.guideline.gov/summary/summary.aspx?doc_id=7324&nbr=4347&ss=6&xl=999

28. Pharyngitis - Wikipedia, The Free Encyclopedia pharyngitis is a painful inflammation of the pharynx, Some cases of pharyngitisare caused by irritation from agents such as pollutants, chemicals, http://en.wikipedia.org/wiki/Pharyngitis

You did it! Over US$240,000 was donated in the 21 day fund drive. Thank you for your generosity! You are still welcome to make a donation or purchase Wikimedia merchandise Pharyngitis From Wikipedia, the free encyclopedia. Pharyngitis is a painful inflammation of the pharynx , and is colloquially referred to as a sore throat . Infection of the tonsils, tonsillitis (American English: tonsilitis ) may occur simultaneously. The major cause is infection , of which 90% are viral , the remainder caused by bacterial infection and rarely oral thrush fungal candidiasis e.g. in babies). Some cases of pharyngitis are caused by irritation from agents such as pollutants chemicals , or smoke Contents Types Viral sore throats Bacterial sore throats Group A Streptococcal ... edit Types edit Viral sore throats These comprise about 90% of all infectious cases and can be a feature of many different types of viral infections. Adenovirus - the commonest of the viral causes. Typically the degree of neck lymph node enlargement is modest and the throat often does not appear red, although is very painful. Orthomyxoviridae which cause Influenza - present with rapid onset high temperature, headache and generalised ache, a sore throat may be associated.

29. Introduction: Pharyngitis - WrongDiagnosis.com Introduction to pharyngitis as a medical condition including symptoms, diagnosis,misdiagnosis, treatment, prevention, and prognosis. http://www.wrongdiagnosis.com/p/pharyngitis/intro.htm

Home Symptoms Diseases Risks ... Diseases Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Pharyngitis Next sections Basic Summary for Pharyngitis Types of Pharyngitis Causes of Pharyngitis Symptoms of Pharyngitis ... Complications of Pharyngitis Next chapters: Cholera Dysentery Amebic dysentery Viral dysentery ... Feedback Introduction: Pharyngitis Pharyngitis: Inflammation or infection of the larynx in the throat Researching symptoms of Pharyngitis: Further information about the symptoms of Pharyngitis is available including a list of symptoms of Pharyngitis , or alternatively return to research other symptoms in the symptom center Treatments for Pharyngitis: Various information is available about treatments available for Pharyngitis , or research treatments for other diseases. Causes of Pharyngitis: Research more detailed information about the causes of Pharyngitis , other possibly hidden causes of Pharyngitis , or other general information about Pharyngitis Statistics and Pharyngitis: Various sources and calculations are available in statistics about Pharyngitis , and you can also research other medical statistics in our statistics center Contents for Pharyngitis: Basic Summary for Pharyngitis Types of Pharyngitis Causes of Pharyngitis Symptoms of Pharyngitis ... Glossary for Pharyngitis Last revision: June 10, 2003

30. Sore Throat - Healthy Kids And Pediatrics - Health And Medical Information Produ (pharyngitis). What causes a sore throat? What can I do at home for a sore throat? Topics Related to Sore Throat (pharyngitis) http://www.medicinenet.com/sore_throat/article.htm

document.writeln(''); MedicineNet Home Healthy Kids Home Page > Sore Throat Search Tips Printer-Friendly Format FREE Newsletters Email to a Friend ... Next Sore Throat (Pharyngitis) What causes a sore throat? What can I do at home for a sore throat? What is Strep throat and why is it different? When should I seek medical care for a sore throat? ... Sore Throat At A Glance What causes a sore throat? A sore throat can have many causes. Some of these are listed below: Many common viruses, and even the viruses that cause mononucleosis (mono) and the flu, can cause a sore throat. Some of the viruses that cause a sore throat can produce blisters in the mouth and throat ("aphthous stomatitis"). Breathing through the mouth can produce throat dryness and soreness. Sinus drainage may cause a sore throat. A sore throat can also be caused by bacteria. The two most common bacteria to cause as sore throat are Streptococcus (which causes strep throat) and Arcanobacterium haemolyticum. Arcanobacterium causes sore throats mainly in young adults and is sometimes associated with a fine red rash A sore throat that lasts for more than 2 weeks can be a sign of a serious illness, such as throat

31. Pharyngitis Otolaryngology Throat Disease pharyngitis. pharyngitis with strawberryTongue in age 5 years; Nonpurulent Conjunctivitis (also in Adenovirus) http://www.fpnotebook.com/ENT114.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Otolaryngology Throat Disease Assorted Pages Throat Foreign body Pharyngitis Pharyngitis Causes Diphtheria ... Taste Sensation Pharyngitis Sore Throat Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Practice Management Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Otolaryngology Index Allergy Dermatology Ear Disease Examination Hearing Hematology and Oncology Infectious Disease Laboratory Laryngeal Disease General Lip Throat Disease Neurology Neonatology Nasal Disease Obstetrics Pharmacology Procedure Radiology Salivary Sinus Disease Sports Medicine Surgery Symptom Evaluation Tongue Vertigo Page Throat Disease Index Foreign Body Pharyngitis Pharyngitis Causes Pharyngitis Diphtheria Pharyngitis Peritonsillar Abscess Pharyngitis Retropharyngeal Abscess Pharyngitis Streptococcus Pharyngitis Streptococcus Carrier Pharyngitis Tonsillitis Thrush Ulcers Ulcers Aphthous Ulcers Hand Foot and Mouth Ulcers Herpangina Ulcers HSV Uvulitis Epidemiology One of four most common episodic clinic visit reasons Nasopharynx Adenoids (pharyngeal tonsils) at posterior wall Oropharynx Faucial (palatine tonsils) at lateral wall) Hypopharynx Lingual tonsil at Tongue base Causes See Pharyngitis Causes Symptoms

32. Pharmaceutical Research And Manufacturers Of America pharyngitis. Complete a new search pharyngitis Pneumonia, CommunityAcquired Tonsillitis Aventis Pharmaceuticals Bridgewater, NJ. Phase II http://www.phrma.org/newmedicines/newmedsdb/drugs.cfm?indicationcode=Pharyngitis

33. AllRefer Health - Strep Throat (Pharyngitis - Streptococcal, Streptococcal Phary Strep Throat (pharyngitis Streptococcal, Streptococcal pharyngitis) informationcenter covers causes, prevention, symptoms, diagnosis, treatment, http://health.allrefer.com/health/pharyngitis-streptococcal-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Strep Throat Strep Throat Definition Prevention Treatment Expectations or Prognosis ... Go To Main Page Alternate Names : Pharyngitis - Streptococcal, Streptococcal Pharyngitis Definition Strep throat is caused by Streptococcus bacteria. It is the most common bacterial infection of the throat. Throat Anatomy Erythema Multiforme, Circular Lesions - Hands Erythema Multiforme, Target Lesions on the Palm Erythema Multiforme on the Leg Exfoliation Following Erythroderma Strep throat is most common in children between the ages of 5 and 15. It can happen in younger children and in adults, but is unusual before the third birthday. Children younger than 3 can get strep infections, but these are usually not primarily of the throat. Strep throat is most common in the late fall, winter, and early spring. The infection is spread by person-to-person contact with nasal secretions or saliva, often among family or household members.

34. AllRefer Health - Pharyngitis pharyngitis information center covers causes, prevention, symptoms, diagnosis,treatment, incidence, risk factors, signs, tests, support groups, http://health.allrefer.com/health/pharyngitis-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Pharyngitis Pharyngitis Definition Treatment Expectations or Prognosis Complications ... Go To Main Page Definition Pharyngitis is an inflammation of the pharynx that frequently results in a sore throat . It may be caused by a variety of microorganisms. Throat Anatomy Pharyngitis is caused by a variety of microorganisms. Most cases are caused by a virus, including the virus causing the common cold, flu (influenza virus), adenovirus, mononucleosis, HIV, and various others. Bacterial causes include Group A streptococcus , which causes strep throat , in addition to corynebacterium arcanobacterium Neisseria gonorrhoeae Chlamydia pneumoniae, and others. In up to 30% of cases, no organism is identified.

35. Pharyngitis With pharyngitis, a virus or bacterium irritates your throat, or pharynx.Both viral and bacterial forms of pharyngitis can make your throat sore and make http://www.umm.edu/altmed/ConsConditions/Pharyngitiscc.html

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Maryland Medical Center Programs Complementary Medicine Program Home Medical Reference Alternative / Complementary Medicine ... Conditions Pharyngitis Also Listed As: Signs and Symptoms What Causes It? What to Expect at Your Provider's Office Treatment Options ... Supporting Research With pharyngitis, a virus or bacterium irritates your throat, or pharynx. Both viral and bacterial forms of pharyngitis can make your throat sore and make swallowing difficult. If you have a severe case, you may find it hard to breathe. Most cases of acute pharyngitis last a few days with treatment. If you smoke, face regular exposure to environmental irritants, or have a continuing infection in your sinuses, lungs, or mouth, you may develop chronic pharyngitis, in which your symptoms will come back from time to time. The viral form of pharyngitis usually accompanies a cold, flu, or mononucleosis. Strep throat is the best-known example of a bacterial form of pharyngitis. Signs and Symptoms The symptoms of pharyngitis include the following: Sore throat Pain when swallowing In rare cases, difficulty breathing

36. ► Pharyngitis - Streptococcal A medical encycopedia article on the topic pharyngitis - streptococcal. http://www.umm.edu/ency/article/000639.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury ... Encyclopedia (English) Toggle English Spanish Pharyngitis - streptococcal Overview Symptoms Treatment Prevention Definition: Streptococcal pharyngitis is an inflammation (irritation and swelling with presence of extra immune cells) of the pharynx (the part of the throat between the tonsils and the larynx) caused by streptococcus infection. Alternative Names: Strep throat; Streptococcal pharyngitis Causes, incidence, and risk factors: Group A beta-hemolytic streptococci are the most common bacterial cause of pharyngitis or "strep throat." Streptococcal pharyngitis occurs most commonly from October to April, often in children 5 to 10 years old but also in adults. The infection is spread by direct person-to-person contact with nasal secretions or saliva. The organism may be present in the throat of people without causing a sore throat. This is referred to as colonization. Small children frequently have no symptoms or symptoms too mild for diagnosis. Even though the sore throat usually gets better on its own (self-limited), people who have strep throat should take antibiotics to prevent some of the more serious complications of this infection, particularly acute rheumatic fever. Risk factors include recent strep throat in family or household members. The

37. Pharyngitis And Tonsillitis Detailed information on pharyngitis and tonsillitis, including causes, symptoms,diagnosis, and treatment. http://www.healthsystem.virginia.edu/uvahealth/peds_respire/pharton.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Making a Gift Topics Adolescent Medicine Allergy/Asthma/Immunology Blood Disorders Burns Cancer Common Injuries/Poison Tips Craniofacial Anomalies Dermatology Diabetes/Endo/Metabolism Eye Care Genitourinary/Kidney High-Risk Newborn High-Risk Pregnancy Infectious Diseases Medical Genetics Mental Health Nervous System Disorders Normal Newborns Oral Health Orthopaedics Pediatric Surgery Respiratory Disorders Terminal Illness in Children Transplantation UVa Health Topics A to Z FIND A DOCTOR Pediatric Lung Transplant Pediatric Respiratory Medicine Pediatric Surgery ... CLINICAL TRIALS Search This Site Pharyngitis and Tonsillitis What is pharyngitis and tonsillitis? Pharyngitis and tonsillitis are infections in the throat that cause inflammation. If the tonsils are primarily affected, it is called tonsillitis. If the throat is primarily affected, it is called pharyngitis. A child might even have inflammation and infection of both the tonsils and the throat. This would be called pharyngotonsillitis. These infections are spread by close contact with other individuals. Bacterial infections are more common during the winter. Viral infections are more common in summer and fall. Facts about pharyngitis and tonsillitis: Pharyngitis and tonsillitis are most commonly seen in children between the ages of 6 and 8.

38. Pharyngitis / Tonsillitis Detailed information on pharyngitis and tonsillitis, including facts, causes,symptoms, diagnosis, and treatment. http://www.healthsystem.virginia.edu/uvahealth/adult_pediatrics/pharyngitis.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Making a Gift Topics All About Cancer Blood Disorders Bone Disorders Breast Health Cancer Cardiovascular Disease Dermatology Diabetes Digestive Disorders Endocrinology Environmental Medicine Eye Care Glossary Gynecological Health Infectious Diseases Kidney Disease Men's Health Mental Health Nervous System Disorders Non-Trauma Emergency Oral Health Orthopaedics Otolaryngology Pathology Pediatrics, General Health Prostate Health Radiology Respiratory Disorders Skin Cancer Surgical Care Urology Women's Health UVa Health Topics A to Z FIND A DOCTOR Child and Family Psychiatry General Pediatrics Pediatric Allergy and Asthma ... WHY CHOOSE UVA Search This Site Pharyngitis / Tonsillitis What is pharyngitis and tonsillitis? Pharyngitis and tonsillitis are infections in the throat that cause inflammation. If the tonsils are primarily affected, it is called tonsillitis. If the throat is primarily affected, it is called pharyngitis. A child might even have inflammation and infection of both the tonsils and the throat. This would be called pharyngotonsillitis. These infections are spread by close contact with other individuals. Bacterial infections are more common during the winter. Viral infections are more common in summer and fall. What causes pharyngitis and tonsillitis?

39. Hardin MD : Sore Throat / Pharyngitis From the University of Iowa, the *best* lists of Internet sources in Sore Throat /pharyngitis. http://www.lib.uiowa.edu/hardin/md/sorethroat.html

Sore Throat / Pharyngitis A service of the University of Iowa Site Map Diseases Home ... Diseases Search Hardin MD See also: Home Ear, Nose, Throat Strep Throat Popular Women's Health Dermatology Nursing Pharm Infect Disease Acid Reflux +Pictures Child Diseases +Pictures Cold +Pictures Ear, Nose, Throat +Pictures Flu +Pictures Herpes Infections +Pictures Immune System +Pictures Infectious Diseases Laryngitis +Pictures Medical Pictures Mononucleosis +Pictures Oral Diseases +Pictures Respiratory Diseases Strep Throat +Pictures Tonsils +Pictures Virus Diseases +Pictures Sore Throat Pictures / Pharyngitis Pictures LookSmart : Pharyngitis or sore throat Karolinska : Pharyngitis Medical Library, Karolinska Institute, Sweden Open Directory Project : Pharyngitis (Other versions: Google Yahoo : Sore throat Sore Throat Pictures / Pharyngitis Pictures Sore throats ENT Net, Amer Acad Otolaryngology-Head/Neck Surgery Sore throat Mediscan clipart library, London, United Kingdom MEDLINEplus Health Encyclopedia : Sore throat A.D.A.M. / National Library of Medicine Sore throat Student health, Univ Surrey, United Kingdom

40. Pharyngitis/ Strep Throat Clinical features of Group A Beta Hemolytic Strep pharyngitis Viral causesof pharyngitisoften will have cough, conjunctivitis, hoarseness and http://pedclerk.bsd.uchicago.edu/pharyngitis.html

Back to table of contents Pharyngitis/ Strep Throat Clinical features of Group A Beta Hemolytic Strep Pharyngitis unusual before three years of age and greatest between 5-15 Sore throat-usually sudden onset Fever Abdominal pain/vomiting Absence of runny nose, conjunctivitis, diarrhea, and cough More frequent in late winter and spring, uncommon in summer transmitted by oral and nasal secretions Physical findings in Streptococcal Pharyngitis red pharynx with exudate on tonsils and petechiae on soft palate bilateral tender anterior cervical adenopathy Scarlet Fever- sandpapery red rash that is primarily on the trunk. There is circum- oral pallor and a strawberry tongue. There may be Pasita lines in the antecubital fossa area. May be accentuated in the underpants area. Can be pruritic and will often peel at the end of the illness. Patients with scarlet fever are not sicker than others without rash. Sensitive and specificity not high enough to make the diagnosis without culture confirmation. Viral causes of pharyngitis -often will have cough, conjunctivitis, hoarseness and rhinorrhea

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