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in Children: Grp A Strep Pharyngitis should always be Confirmed by Rapid Ag Testing; if -ve
then do Throat Culture
-Rx w Penicillin & Amoxicillin
-Abrupt onset of Sore Throat, Fever, dec Oral Intake, Malaise; Tonsilar Erythema, Exudates,
Tender Ant Cervical L Nodes
-if they have Conjunctivitis, Rhinorrhea, Cough then it's Viral= dont do Strep Test
ASO peaks 1mo later; not helpful in Dx
Adults: w Centor Criteria can receive Antibiotics w/o Culture
Lyme can also cause Motor or Sensory Neuropathy but Not Nodular Tender Nerves
Syphilis Gummas= Soft Ulcerative Masses w Necrotic Centers
Gardenerella & Candida= due to Imbalance of Vaginal Flora; not STD so don't Rx Partner
Scarlet Fever after a Prodrome of Fever Headache Vomiting Sore Throat then Rough
Sandpaper Rash= Papules