Evaluation and Management of Patients With Pharyngitis in Urgent Care| Points & Pearls

Evaluation and Management of Patients With Pharyngitis in Urgent Care (Pharmacology CME)

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Points & Pearls Excerpt

  • GABHS pharyngitis is most common during late winter and early spring in temperate climates.16 It most commonly affects children and adolescents aged 5 to 15 years17 and is rare in children aged <3 years.11
  • Viral syndromes are the most common cause of pharyngitis,3,5 but GABHS is responsible for 20% to 30% of sore throat visits in children3,4 and 5% to 15% of sore throat visits in adults.5
  • Viral pharyngitis usually presents with associated symptoms such as conjunctivitis, coryza, hoarseness, cough, diarrhea, and/or typical exanthems. The physical examination aids in diagnosis, but it is not sufficient to distinguish viral pharyngitis from GABHS pharyngitis.38-43
  • The history should include any close contacts with GABHS infections in the previous 2 weeks;44 trauma; ingestions; smoking; alcohol use; immunizations; use of antipyretics or analgesics; sexual history (for consideration of less-common causes of pharyngitis such as gonorrhea); recent dental procedures or infections; past history of rheumatic fever; and weight loss (especially in older adults, due to concern for malignancy).
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Publication Information
Editor in Chief & Update Author

Keith Pochick, MD, FACEP
Attending Physician, Urgent Care

Urgent Care Peer Reviewer

James B. Short, Jr., MD, FAAFP, BCUCM
Linda Aanonsen, PA-C

Charting Commentator

Brad Laymon, PA-C, CPC, CEMC

Publication Date

October 1, 2022

CME Expiration Date

October 1, 2025    CME Information

CME Credits

4 AMA PRA Category 1 Credits™. 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits

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