Allergy & Otolaryngology
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[date name="variable_1" default="05/08/2020"]

Chief Complaint: Pharyngitis

Modified Centor Score
[select name="Q1Fever" value="No (0 points)=0|YES (1 point)=1"] <-- History of fever or measured temperature > 100.4 degrees F
[select name="Q2Cough" value="Cough is present (0 points)=0|COUGH IS ABSENT (1 point)=1"] <-- Presence of coughing
[select name="Q3Nodes" value="No (0 points)=0|YES (1 point)=1"] <-- Tender anterior cervical nodes
[select name="Q4Tonsil" value="No (0 points)=0|YES (1 point)=1"] <-- Tonsillar swelling or exudates
[select name="Q5Age" value="< 15 years (1 point)=1|15 to 45 years (0 points)=0|> 45 years (-1 point)=-1"] <-- Age
Score --> [calc value="score=(Q1Fever)+(Q2Cough)+(Q3Nodes)+(Q4Tonsil)+(Q5Age)" memo="score"]
Interpretation --> Risk of group A beta-hemolytic streptococcus is [calc value="score=(Q1Fever)+(Q2Cough)+(Q3Nodes)+(Q4Tonsil)+(Q5Age);score>3?'51 to 53%, consider empiric antibiotic treatment.':score>2?'28 to 35%, perform throat culture or rapid antigen detection testing and treat accordingly.':score>1?'11 to 17%, perform throat culture or rapid antigen detection testing and treat accordingly.':score>0?'5 to 10%, may forego antibiotics OR may perform throat culture or rapid antigen detection testing and treat accordingly.':'1 to 2.5%, antibiotic treatment or further testing is not warranted.'" memo="Risk and Recommendation"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"]
references:
[link url="http://www.ncbi.nlm.nih.gov/pubmed/11033707" memo="#1"] McIsaac WJ, Goel V, To T, Low DE. The validity of a sore throat score in family practice. CMAJ. 2000 Oct 3;163(7):811-5.
[link url="https://www.ncbi.nlm.nih.gov/pubmed/19275067" memo="#2"] Choby BA. Diagnosis and treatment of streptococcal pharyngitis. Am Fam Physician. 2009 Mar 1;79(5):383-90. Erratum in: Am Fam Physician. 2013 Aug 15;88(4):222.[/conditional]

Other symptoms:
[checkbox name="variable_1" value="headache|malaise|runny nose|exposure to covid|exposure to mono"]


PHYSICAL EXAM:
GENERAL: [checkbox name="variable_1" value="well-developed and well-nourished|alert and cooperative|in no acute distress|well-appearing and nontoxic"], [text name="variable_2" default=""]
HEENT: [checkbox name="variable_3" value="normocephalic|atraumatic|EOMI|vision grossly intact bilaterally|no conjunctival injection or visible discharge|hearing grossly intact bilaterally|no frontal sinus tenderness bilaterally|no maxillary sinus tenderness bilaterally|no oropharyngeal erythema/edema/exudate|no uvular deviation|speaks in clear and unmuffled voice|lips/tongue/dentition/gingiva within normal limits"], [text name="variable_4" default=""]
NECK: [checkbox name="variable_5" value="supple with full range of motion|no stridor|no midline tenderness of stepoff|no cervical lymph node tenderness bilaterally|no cervical lymph node swelling bilaterally|no visible thyromegaly or other masses"], [text name="variable_6" default=""]
RESPIRATORY: [checkbox name="variable_7" value="no audible rales/rhonchi/wheezing|normal respiratory effort|speaking full sentences|no visible signs of tachypnea|no retractions"], [text name="variable_8" default=""]
CARDIOVASCULAR: [checkbox name="variable_9" value="peripheral pulses intact and palpable|pulse felt to be regular rate and rhythm by patient"], [text name="variable_10" default=""]
ABDOMINAL: [checkbox name="variable_11" value="no focal abdominal tenderness elicited upon palpation|no visible abdominal distension|no abnormal masses found upon palpation"], [text name="variable_12" default=""]
BACK: [checkbox name="variable_13" value="no CVAT elicited bilaterally|no midline tenderness or stepoff upon palpation"], [text name="variable_14" default=""]
EXTREMITIES: [checkbox name="variable_15" value="no bony tenderness|no visible gross deformity|no edema|normal range of motion"] of affected area, [text name="variable_16" default=""]
NEUROLOGIC: [checkbox name="variable_17" value="CN III-XII grossly intact|normal-appearing mental status|moving all extremities normally|grossly normal motor strength throughout|sensation to light touch grossly intact throughout|normal speech|normal gait"], [text name="variable_18" default=""]
PSYCH: [checkbox name="variable_19" value="normal-appearing affect"], [text name="variable_20" default=""]

Assessment/Plan:
[select name="variable_1" value="PCN V 500 mg po bid x 10 days|Amoxicillin 500 mg po bid x 10 days|Azithromycin 500 mg orally on day 1 followed by 250 mg orally on days 2 through 5"]
[select name="variable_1" value="Ibuprofen 200-400 mg every 6 hours for pain relief|tylenol 325 every 6 hours as needed for pain|Decadron 10 mg po once"]


Chief Complaint: Pharyngitis

Modified Centor Score
<-- History of fever or measured temperature > 100.4 degrees F
<-- Presence of coughing
<-- Tender anterior cervical nodes
<-- Tonsillar swelling or exudates
<-- Age
Score --> scorescore=(Q1Fever)+(Q2Cough)+(Q3Nodes)+(Q4Tonsil)+(Q5Age)
Interpretation --> Risk of group A beta-hemolytic streptococcus is Risk and Recommendationscore=(Q1Fever)+(Q2Cough)+(Q3Nodes)+(Q4Tonsil)+(Q5Age);score>3?'51 to 53%, consider empiric antibiotic treatment.':score>2?'28 to 35%, perform throat culture or rapid antigen detection testing and treat accordingly.':score>1?'11 to 17%, perform throat culture or rapid antigen detection testing and treat accordingly.':score>0?'5 to 10%, may forego antibiotics OR may perform throat culture or rapid antigen detection testing and treat accordingly.':'1 to 2.5%, antibiotic treatment or further testing is not warranted.'
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Other symptoms:



PHYSICAL EXAM:
GENERAL: ,
HEENT: ,
NECK: ,
RESPIRATORY: ,
CARDIOVASCULAR: ,
ABDOMINAL: ,
BACK: ,
EXTREMITIES: of affected area,
NEUROLOGIC: ,
PSYCH: ,

Assessment/Plan:

Result - Copy and paste this output:

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