ENT, Throat

Sep 15, 2010 Issue
Enlarged Tonsils and Fatigue [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

May 15, 2010 Issue
Guidelines for the Diagnosis and Management of Hoarseness [Practice Guidelines]

The American Academy of Otolaryngology–Head and Neck Surgery Foundation has released evidence-based guidelines for the evaluation and management of hoarseness. The goals of the guidelines are to improve diagnostic accuracy; reduce inappropriate medication and imaging use; and promote appropriate use of laryngoscopy, voice therapy, and surgery.

Jan 15, 2010 Issue
Vocal Cord Dysfunction [Article]

Vocal cord dysfunction involves inappropriate vocal cord motion that produces partial airway obstruction. Patients may present with respiratory distress that is often mistakenly diagnosed as asthma. Exercise, psychological conditions, airborne irritants, rhinosinusitis, gastroesophageal reflux disea...

Aug 15, 2009 Issue
Hoarseness in Adults [Article]

Numerous conditions can cause hoarseness, ranging from simple inflammatory processes to more serious systemic, neurologic, or cancerous conditions involving the larynx. Evaluation of a patient with hoarseness includes a careful history, physical examination, and in many cases, laryngoscopy. Any pati...

Mar 1, 2009 Issue
Diagnosis and Treatment of Streptococcal Pharyngitis [Article]

Common signs and symptoms of streptococcal pharyngitis include sore throat, temperature greater than 100.4 degrees F (38 degrees C), tonsillar exudates, and cervical adenopathy. Cough, coryza, and diarrhea are more common with viral pharyngitis. Available diagnostic tests include throat culture and ...

Jan 15, 2008 Issue
Peritonsillar Abscess [Article]

Peritonsillar abscess remains the most common deep infection of the head and neck. The condition occurs primarily in young adults, most often during November to December and April to May, coinciding with the highest incidence of streptococcal pharyngitis and exudative tonsillitis. A peritonsillar ab...

Jul 1, 2005 Issue
Antibiotics for Acute Laryngitis in Adults [Cochrane for Clinicians]

Two small trials of antibiotic treatment in acute laryngitis do not support routine use of antibiotics in these patients. Most patients will feel better in five to seven days, and it is unlikely that they will experience a clinically important benefit from antibiotics.

Mar 15, 2004 Issue
Pharyngitis [Article]

Sore throat is one of the most common reasons for visits to family physicians. While most patients with sore throat have an infectious cause (pharyngitis), fewer than 20 percent have a clear indication for antibiotic therapy (i.e., group A beta-hemolytic streptococcal infection). Useful, well-valida...

Feb 15, 2003 Issue
Diagnosis and Management of Group A Streptococcal Pharyngitis [Practice Guidelines]

The Infectious Diseases Society of America (IDSA) recently updated a 1997 guideline for the diagnosis and management of group A streptococcal pharyngitis. The IDSA defined group A streptococcal pharyngitis as an acute infection of the oropharynx or nasopharynx that is caused by Streptococcus pyogenes.

Nov 1, 2002 Issue
Recurrent Tonsillitis [Clinical Evidence Handbook]

Is tonsillectomy effective in severe tonsillitis in children and adults?

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