ENT, Throat

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?

Jan 1, 2002 Issue
Peritonsillar Abscess: Diagnosis and Treatment [Article]

Peritonsillar abscess, the most common deep infection of the head and neck that occurs in adults, is typically formed by a combination of aerobic and anaerobic bacteria. The presenting symptoms include fever, throat pain, and trismus. Ultrasonography and computed tomographic scanning are useful in c...

Apr 15, 2001 Issue
Management of Group A Beta-Hemolytic Streptococcal Pharyngitis [Article]

Bacteria are responsible for approximately 5 to 10 percent of pharyngitis cases, with group A beta-hemolytic streptococci being the most common bacterial etiology. A positive rapid antigen detection test may be considered definitive evidence for treatment; a negative test should be followed by a con...

Apr 15, 2000 Issue
Evaluation and Treatment of Swallowing Impairments [Article]

Swallowing disorders are common, especially in the elderly, and may cause dehydration, weight loss, aspiration pneumonia and airway obstruction. These disorders may affect the oral preparatory, oral propulsive, pharyngeal and/or esophageal phases of swallowing. Impaired swallowing, or dysphagia, may...

Nov 15, 1999 Issue
Diagnosis of Stridor in Children [Article]

Stridor is a sign of upper airway obstruction. In children, laryngomalacia is the most common cause of chronic stridor, while croup is the most common cause of acute stridor. Generally, an inspiratory stridor suggests airway obstruction above the glottis while an expiratory stridor is indicative of ...

Jun 1, 1998 Issue
Evaluating Hoarseness: Keeping Your Patient's Voice Healthy [Article]

Hoarseness is the term often used by patients to describe changes in their voice quality. The causes of hoarseness are determined after obtaining a detailed medical history of the circumstances preceding the onset of hoarseness and performing a thorough physical examination. The latter may include v...

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