Sore Throat

Take pertinent history and focused physical exam.

Painful swallowing, Exudate on

tonsils, fever, Symptoms more
than 3 days.

Suggestive of Group A
Streptococcus.

YES

NO

Diagnosed by Diagnosed by
Throat Culture Strept O Ag
Test

Negative MONONUCLEOSIS

GROUP A

CBC Count PHARYNGITIS

Diagnosed by Heterophile
Negative Antibody Test
Elevated
Positive
Treat with PEN G or
Azithromycin if there is Positive Negative
NO YES pencillin allergy

Supportive Therapy eg. Fluids and

Supportive TONSILITIS CBC Count
healthy diet, avoidance of sport
therapy eg.
and rest.
Rest, salt
water gargle
YES NO

Tonsilectomy
Supportive
if not
responsive to Therapy
treatment