A Clinical Approach to a Sore Throat

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:
https://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: https://www.nice.org.uk/guidance/ng84...