Streptococcal Pharyngitis Plan

Patient presenting with sore throat consistent with bacterial pharyngitis.  

Strep test is positive.

The patient did not have trismus, hot potato voice, uvula deviation, unilateral tonsillar swelling, toxic appearance, drooling or pain with movement of the trachea to suggest peritonsillar abscess or epiglottitis.  No evidence of bacterial infections including peritonsillar abscess, retropharyngeal abscess, epiglottitis.  Patient advised to continue ibuprofen and Tylenol at home.  Further symptomatic measures discussed.

Advised Pt on supportive therapies, including using a cool-mist vaporizer/humidifer/steam from hot showers, limit talking, OTC throat lozenges and mouthwashes, gargling w/ warm saltwater, advancement of fluids as tolerated, nasal saline sprays, rest, OTC acetaminophen or ibuprofen as directed prn for pain control, frequent handwashing, and boiling/disposing of contaminated toothbrushes.