Makindo Medical Notes"One small step for man, one large step for Makindo" |
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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 |
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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 |