Medical history (history of illness) represents an important component in the diagnosis of pharyngitis (pharyngitis). Family history What is the current health status of your family members? Are there currently streptococcal infections in the family environment or contact with patients with Pfeiffer’s glandular fever? Social history What is your profession? Is there any evidence of … Pharyngitis: Medical History
Therapeutic targets Alleviation of symptoms Avoidance of complications Therapy recommendations All patients should be offered analgesics (pain relievers; preferably acetaminophen or ibuprofen), if appropriate. For decision making for antibiosis (antibiotic therapy). No clinical signs of GABHS pharyngitis (= group A beta-hemolytic streptococci): 0-2 centor criteria (see score under “Physical examination“) + no contact with GAS … Pharyngitis: Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnosticsand obligatory medical device diagnostics – for differential diagnostic clarification. Echocardiography (echo; cardiac ultrasound) – for suspected endocarditis (pericarditis), myo- or pericarditis (inflammation of the heart muscle and pericardium). Sonography (ultrasound examination) of the oropharynx (upper part of the throat) … Pharyngitis: Diagnostic Tests
Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for prophylaxis (prevention). Since pharyngitis is an inflammatory process, vitamin C can have a preventive and immune-strengthening effect Zinc The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific studies … Pharyngitis: Micronutrient Therapy
To prevent pharyngitis (pharyngitis), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Malnutrition and undernutrition – weakens the immune system. Micronutrient deficiency (vital substances) – see prevention with micronutrients. Consumption of stimulants Alcohol Tobacco (smoking) – favors upper respiratory tract infections. Psycho-social situation Stress (due toweakening of the immune system). … Pharyngitis: Prevention
The following symptoms and complaints may indicate pharyngitis (pharyngitis): Acute pharyngitis Cough or irritation of the cough Dysphagia (difficulty swallowing) Pain when swallowing Scratching and burning in the throat Feeling of dryness in the throat Possibly mild fever (about 90% of cases; usually subsides within 10-14 days). In addition, with angina lateralis (lateral gangrene) cough … Pharyngitis: Symptoms, Complaints, Signs
Respiratory System (J00-J99) Pharyngitis chronica hyperplastica (granulosa) (Pharyngitis granulosa) – Form of chronic pharyngitis associated with hyperplasia of the lymphoid follicles; the lymphoid follicles of the posterior pharyngeal wall are enlarged and the patient experiences a foreign body sensation in the throat as well as retching and clearing of the throat. Pharyngitis lateralis – form … Pharyngitis: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by pharyngitis (pharyngitis): Respiratory system (J00-J99) Laryngeal edema – accumulation of water in the larynx. Mediastinitis – inflammation of the connective tissue of the mediastinal cavity. Peritonsillar abscess (PTA) – spread of inflammation to the connective tissue between tonsil (tonsils) and … Pharyngitis: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin and mucous membranes Mouth and oropharynx (areas from the soft part of the palate, the tonsils and the base of the tongue) [acute pharyngitis: inflammation … Pharyngitis: Examination
The diagnosis of pharyngitis (pharyngitis) is initially made on the basis of the clinical appearance and the symptoms described by the patient. Second-order laboratory parameters-depending on the results of the history, physical examination, etc.-are used for differential diagnostic clarification Throat swab – if bacterial pharyngitis is suspected [Note: approximately 50-80% of pharyngitis is caused by … Pharyngitis: Test and Diagnosis
Pathogenesis (development of disease) Acute viral pharyngitis (approximately 50-80% of cases) is usually caused by viruses in the setting of a general upper respiratory tract infection, most commonly rhino, adeno, influenza, or parainfluenza viruses. Herpes simplex, Coxsackie, Echo, Epstein-Barr, cytomegalovirus, measles, or rubella viruses can also cause pharyngitis. Acute bacterial pharyngitis is most commonly caused … Pharyngitis: Causes
General measures Since most inflammation of the throat is caused by viral infections, it is necessary to wait for the normal healing process, which lasts over one to two weeks. The following measures can help the healing process: Commercial mild throat or lozenges (preferably sugar-free) can help relieve. Bed rest If necessary, children calf compresses … Pharyngitis: Therapy
