Pharyngitis

#

1. symptoms

    1. 3-15 y/o

    2. sore throat

    3. exudate in oropharynx

2. Treatment

    1. Amp penicillin 6-3-3 #(1 for <27kg, 2 for >27kg) + **Penicillin Test**

        6: 600 unit P. Benzathine

        3: 300 unit P. procaine

        3: 300 unit P. G potassium

        1. or Amp penicillin benzathine 1,200,000 #(1 in >27kg and 1/2 in <27kg)

        2. or tab penicillin V 500 mg tds #30

        3. or susp Penicillin V 250mg/5ml tds #1 10 cc for >27kg and 5cc for <27 kg

        4. or Tab co-amoxiclav 625mg tds #28 (45mg/kg/day)

        5. or Syrup Farmentin 643 w/3 #1

    2. in case on hyper sensitivity

        1. Tab erythromycin 300 mg tds #30 for >5y/o

            1. or tab azithromycin 250 mg #6, 2 tab stat then 1 tab qd

        2. Syrup erythromycin 200mg for 3-5 y/o

            1. or syrup azithromycin 200mg/5ml #1

    3. Susp acetaminophen 120mg/5ml w/2 cc qid

    4. susp diphenhydramine 12.5mg/5ml #1 qid

    5. tab altadin #1 q4h میکدنی for adults only

    6. Drop NaCl 0.65% #1 q4h for nasal congestion

3. DDx: EBV

    1. pharyngitis + exudate

    2. myalgia + fever + malaise

    3. neck and submandibular lymphadenopathy

    4. leukocytosis + atypic lymphocyte + thrombocytopenia

    5. Tx: if thrombocytopenia + purpura ⇒ steroids