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Compr Ther. 2008 Fall-Winter;34(3-4):196-203.

Evaluation and management of adult pharyngitis.

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  • 1Division of General Medicine and Primary Care, Brigham and Women's Hospital, 1620 Tremont Street, BC-3-2X, Boston, MA 02120, USA.


The main goal in the evaluation of adults with sore throat is identifying those likely to have group A b-hemolytic streptococci (GABHS), or "streptococcal pharyngitis." Adults should be assessed for 1) fever, 2) absence of cough, 3) tender anterior cervical lymphadenopathy, and 4) tonsillar swelling or exudate. A strategy that results in about 40% of adults getting a streptococcal test and fewer than 20% getting antibiotics is detailed.

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