Features suggestive of GAS infection

Beefy, swollen, red uvula

Fever

Headache

History of exposure to GAS

Nausea, vomiting, and abdominal pain

Pain with swallowing

Patient 5 to 15 years of age

Presentation in winter or early spring (in temperate climates)

Scarlet fever rash

Soft palate petechiae (“doughnut lesions”)

Sudden onset of sore throat

Tender, enlarged anterior cervical nodes

Tonsillopharyngeal erythema

Tonsillopharyngeal exudates

Features suggestive of viral infection

Characteristic enanthems

Characteristic exanthems

Conjunctivitis

Coryza

Cough

Diarrhea

Hoarseness