History (sore throat)
The history should include:
- symptom duration
- absence or presence of trismus
- symptoms of systemic upset e.g. fever, malaise
- symptoms of dysphagia?
- rash?
- history of previous episodes?
If there is stridor then this is an ominous sign. A child may complain of abdominal pain. A cough indicates a lower likelihood of streptococcal infection.
Reference:
- McWhinney I. A textbook of familiy medicine. Oxford: OUP, 1989.
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