Sore throat

Data gathering

  • Red flags
  • Others
    • Cough
    • Fever
    • Myalgia
    • Nausea, vomiting
    • Runny nose, sneezing
    • Rash
    • E+D
  • Examine
    • Temperature, HR, BP
    • Cervical LN
    • ENT exam

Clinical management

  • Investigations
  • Treatment
    • Analgesia
    • Fluids
    • Antibiotics
    • if Centor >3, FeverPAIN > 4
  • Follow-up / Safety net
    • Refer urgently: stridor, acute respiratory distress (avoid throat examination)
    • Refer for tonsillectomy: >7 well documented and treated tonsillitis in 1 year (5 in previous two years, 3 in previous three years)