The Rational Clinical Examination
David L. Simel, Drummond Rennie
Streptococcal Pharyngitis
Mark H. Ebell, Mindy A. Smith, Henry C. Barry, Kathy Ives, Mark Carey
Sections:
Clinical Scenarios, Why is the Diagnosis Important?, Methods, Precision and Accuracy, Clinical Scenarios—Resolutions, The Bottom Line, References
Topics Discussed:
pharyngitis, sore throat, sore throat, streptococcal
Excerpt:
"In each of the following cases, the physician must decide whether the
patient has group A 
-hemolytic streptococcal pharyngitis (strep
throat). In case 1, a 7-year-old boy presents in March without a
cough but with 1 day of sore throat accompanied by fever, headache,
moderate cervical adenopathy, and a markedly exudative and erythematous
pharynx. His brother was recently diagnosed as having strep throat.
In case 2, a 16-year-old presents with severe sore throat and anterior
adenopathy for 3 days but no tonsillar enlargement, exudate, fever,
or cough. In case 3, a 42-year-old woman presents with 5 days of
sore throat and cough but no adenopathy, tonsillar enlargement,
recent exposure to strep, or exudate...."
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