Microteaching Sorethroat

Case based learning
Approach to Sorethroat in Primary Care

​Learning objectives

• Identify common causes of a sore throat

• Use the McIsaac score to estimate likelihood of streptococcal pharyngitis

• Apply the McIsaac score in a short case scenario

Reorder

Rank these causes of sore throat from most to least common

• Viral URTI

• Strep pharyngitis

• Infectious mononucleosis

• Gastroesophageal reflux

• Foreign body ingestion

1

2

3

4

5

• 1
• 2
• 3
• 4
• 5

Multiple Choice

Case 1: 30-year-old presents with 3-day sorethroat, runny nose, fever, T 37.5 °C, requesting for antibiotics. He has mild tonsillar redness, no exudates, no palpable cervical lymph nodes with history of stomach upset with penicillin.
What is the most likely diagnosis?

• Foreign body ingestion

• Infectious mononucleosis

• Viral pharyngitis

• Voice strain

​Tools

https://www.mdcalc.com/calc/104/centor-score-modified-mcisaac-strep-pharyngitis

https://sites.google.com/moh.gov.my/nag/contents/section-c-clinical-pathways-in-primary-care/c3-acute-pharyngitis

Multiple Choice

Case 1: 30-year-old presents with 3-day sorethroat, runny nose, fever, T 37.5 °C, requesting for antibiotics. He has mild tonsillar redness, no exudates, no palpable cervical lymph nodes with history of stomach upset with penicillin.
What is the most likely diagnosis?

• Foreign body ingestion

• Infectious mononucleosis

• Viral pharyngitis

• Voice strain

Multiple Select

Case 1: 30-year-old presents with 3-day sorethroat, runny nose, fever, T 37.5 °C, requesting for antibiotics. He has mild tonsillar redness, no exudates, no palpable cervical lymph nodes.
What is the most appropriate management?

• Broad spectrum antibiotics

• Empirical antibiotics

• Symptomatic treatment

• Test and treat if positive

Word Cloud

What is symptomatic treatment for sorethroat?

Multiple Select

Case 2: 10-year-old presents with 2 days sore throat + fever 38.5°C, no cough, tonsillar exudates, no tender anterior nodes.
What is the most appropriate management?

• Broad spectrum antibiotics

• Empirical antibiotics

• Symptomatic treatment

• Test and treat if positive

Multiple Select

What are the components of the antibiotic checklist?

• Drug allergy statement

• Indication, choice of antibiotic, dose, frequiency, duration

• Patient demographics, cost analysis

• Patient history, examination findings

• Sorethroat: Diagnosis

• Supportive management

• Centor Score

• Antibiotics