Probability diagnosis
- Viral pharyngitis
- Streptococcal tonsillitis
- Chronic sinusitis with postnasal drip
- Oropharyngeal candidiasis
Serious disorders not to be missed
- Cardiovascular
- angina
- myocardial infarction
- Neoplasia
- cancer of oropharynx, tongue
- Blood dycrasias (e.g. agranulocytosis, acute leukaemia)
- Severe infections:
- acute epiglottitis
- peritonsillar abscess
- pharyngeal abscess
- diphtheria
- HIV/AIDS
Pitfalls (often missed)
- Foreign body
- Epstein-Barr mononucleosis
- Candida
- common in infants
- steroid inhalers
- STIs:
- gonococcal pharyngitis
- herpes simples (type II)
- syphilis
- Irritants (e.g. cigarette smoke, chemicals)
- Reflux oesophagitis --> pharyngolaryngitis
- Tonsilloliths
- Cricopharyngeal spasm
- Kawasaki disease
- Chronic mouth breathing
- aphthous ulceration
- Thyroiditis
- Rarities
- scleroderma
- behcet disease
- sarcoidosis
- malignant granuloma
- tuberculosis
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