A Clinical Approach to a Sore Throat
HTML-код
- Опубликовано: 10 июл 2024
- 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:
drviktorkotarski.podia.com/re...
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: www.nice.org.uk/guidance/ng84...
![Sean Rii, Karyon, Sharzkii - Taungule [My Love] (Official Music Video)](http://i.ytimg.com/vi/eJoMuypbSzQ/mqdefault.jpg)
I want to remind everyone that my videos are for educational purposes only. Of course, everyone is welcome to watch, but the information I present is most useful for junior doctors, nurses, and students. As I stated in the description of every video and on my channel homepage, none of this is medical advice for patients. I don't practice medicine over the internet. If you are a patient and have any questions about your health, please get in touch with your doctor.
Very well done MD!
Awesome video and explanation!!
Very good presentation ❤..loved it fully
Superb command of speech and teaching method
Thank you doctor, very succinct information.
Thank you for this video.
Excellent video on teaching on how to apply diferential diagnosis
awesome work
He is a gem
I am GP and your demonstration is very good
Thank you doctor ❤
Thanks waiting more videos
Thanks!
Hello, could you do a detailed video on hiv medication for early cases? There seems to be a lot of conflicting information, many regimens and also some newer single-pill protocols. Also, the side effects of each would be good to know, the more common ones and how we can combat them via food choices ie. Please consider it. The virus is a problem itself but the apparent stigma and misinformation online is an absolute nightmare.
Great video thanks 🙏. Just a question,if not mono and not hiv but strep a swabbing test showed negative, can we consider it's a streptococcus mutant . If the case is severe and can't wait for culture results to determine which antibiotics to use, starting with clarithromycin and ceftriaxone.. CRP 350..LYM% LOW
NEU#high
WBC little high
Judging by your question, I assume you're a clinician. As I always point out, this is not medical advice for patients. This is my answer for fellow clinicians and medical students:
GAS is by far the most common cause of bacterial pharyngitis, but it's not the only one. So if it's not strep, but it looks bacterial, you should take a bacterial swab and let your microbiologist know you are looking for other bacteria. Ask yourself, are there any risk factors for really rare pathogens like F. tularensis, the cause of tularemia?
That said, if the patient seems very sick, strep is negative, and CRP is that high, maybe it's not just pharyngitis. I would also consider infections involving the structures adjacent to the pharynx (abscesses, Lemierre syndrome...). Maybe this video will help:
ruclips.net/video/mZ4VlO8nhCc/видео.html
lovely video bro
Do you get this from someone? Or from food?
I have sore throat and painful swallowing a lot of congestion in my chest my throat is itchy I feel weak and dizzy and down I feel hungry help please
Thank you! This has helped me understand what may be happening to me. ❤ I feel less anxious.
i understand where you’re coming from
Happy birthday 🎂
ive had a sore throat now for 3 weeks, gone to doctor twice and he gave me AMOXICILIN/CLAVULANIC ACID 3 times a day.. slowly ive been feeling a little bit better to the point where the right side feels ok in my throat but the left side still irritated and sore! Ive had sore throats before but nothing like this.. I do have sneezing
Me too
I really don't understand what is wrong with me😢😢 now nine months with it and I had madicical x-ray 🩻 they said am very ok, I even don't know what to do really, help please coz dizziness is really killing me
Sorry kfc doesnt allow me to swallow so i will just have a strepsil instead 😂
I have a sore throat!
Me too I got 3 hours of sleep last night THE PAIN…
Same 😭
Same, I drank hot chocolate, and it helped a lot
Finially a doctor ❤
Happy birthday 🎂
Piece out
Me too
Hi doctor I have strep throat and dealing with it from 2 month but its not cure also swollen interior cervical lymph nodes thats now slow down in size can you tell how much it takes to heal??
I have also for 4 month what about urs throat now
Are u ok now?
Can you get bacterial, but not strep? I had it 6 years ago, and now. and both times penicillin has done nothing it seems like. No cough, no sinus. Just fever, raging throat, cant sleep or eat. Covered in white stuff.
Candida?
Its the fever chills body aches that annoy me, not even so much throat pain
So massive doctor but am her suffering with infections in my throat, I have ear pain air passes my throat and heart burn, I don't no what is really causing that, and I also have wounds 😢😢
Staphylococcus. Go to the hospital immediately
I had a sore throat for 3 weeks, and after that it's a bit irritated, red, whit some white spots, but doesn't hurt. It's in that state for 2 months, but no pain. What's happening.
Same. 3months now. Not tonsils but back of throat
I have white spots on my tonsils
My taste buds turns into sour bitter taste in my mouth so bad that whatever I eat it taste so sour bitter. Now it comes with butthole smell in both my throat and nostrils. What do I have???
Im 15 years old and i have coughing problem to eat sore throat and my spleen aint that good and my tempature was 39.3c i had tempeture 3 times
But im 29 have sore red swollen tonsils with white on them
My husband is 28 and has the same complaint. How are you now ?
Get to the point!