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?
- 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.
- McWhinney I. A textbook of familiy medicine. Oxford: OUP, 1989.
Last reviewed 01/2018