Flashcards in Sore throat Deck (27):
Who are streptococcal throat infections most likely to occur in?
Children of school age
What are most sore throats which present in the pharmacy caused by?
Viral infections (90%) as opposed to bacterial
What is the common duration of sore throats?
7 - 10 days
Usually self limiting
Any longer then referral to the doctor is recommended
What should you do if the sore throat is extremely painful, without the presence of cough, cold or catarrhal symptoms?
Refer to the doctor if present for 24-48h
What other symptoms are sore throats often associated with?
may also be fever and general aches and pains. these are keeping in line with a minor self limiting viral infection
What are both hoarseness and dysphagia (difficulty swallowing) indications for?
What will smoking do to a sore throat?
If the patient smokes, give advice about stopping
Which medications can cause sore throats?
Steroid inhalers (beclometasone or budesonide) can cause hoarseness and candidal infections of the throat and mouth
Can be prevented by rinsing the mouth with water after using the inhaler
`Poor inhaler technique as well as large doses of these steroid inhalers can be a cause
A patient taking which drug and presenting with a sore throat should be referred immediately?
Sore throat can be first sign of life threatening infection
What is the referral criteria for sore throat?
Hoarseness of 3 weeks and more
Recurrent bouts of infection
Sore throat lasting 1 week or more
When is hoarseness caused ?
when there is inflammation of the vocalchords and larynx (laryngitis)
Associated with hoarse, diminished voice and sore throat
What is the advice for laryngitis?
Resting the voice
settles within a few days
antibiotics are not used
When is referral necessary for hoarseness in sore throats?
In babies and young children
If lasts more than 3 weeks
Would could be the cause of dysphagia presenting with sore throat?
Severe throat infections
How does thrush of the mouth and throat appear?
White plaques in throat and gums
most commonly appears in babies and very elderly
Can be scraped off
surface is red and sore
What is the viral infection glandular fever caused by?
Epstein barr virus
leaves patients debilitated for a few months afterwards
Who does glandular fever typical present in?
Teenagers and young adults
can be transmitted by kissing
How can diagnosis of glandular fever be done?
Generally presents with severe sore throat after 2 weeks of general malaise
may be difficulty swallowing
inflamed with creamy exudates present
How long until the patient should see the doctor with a sore throat?
What are the first line treatment of sore throats?
Oral analgesics - provide rapid and effective relief
What mouthwashes and sprays are available for sore throat?
Local anaesthetic (benzocaine)
Lozenges and pastilles
How does benzydamine (anti-inflammatory agent) work in sore throat
Reduces pain and inflammation in the mouth and throat
What side effects has been reported with benzydmaine spray and mouthwash?
stinging of the mouth and throat
Can children use benzydamine?
Spray - only in children over 6
Mouthwash - only in children over 12
What are benzocaine and lidocaine?
local anaesthetics which can be used in throat sprays for pain relief
benzocaine can also be formulated in a lozenge and pastille
When should lozenges be avoided