1. Cause 1 10 years girl suddenly has high fever 39,2 C and a sore throat
Cause years girl suddenly has high fever 39,2 C and a sore throat. She change the timbre of the voice and refuse food. She hasnt cough.

3. Phisical examination * large red, swollen and inflamed tonsils with exudates * painful cervical lymmphadenopathy

4. Cause years men with blocked up nose has sore throat, mild headache, sneezing ,burning eyes and a nonproductive cough. The fever is low –grade , less 38 C.

6. Phisical examination. oedematosus and erythematosus pharyngeal mucosae
Phisical examination * oedematosus and erythematosus pharyngeal mucosae * clear nasal dicharge *lack of cervical liphadenopathy

8. Cause years schoolboy has severe sore throat with mild headache and malaise. He has feel unwell since one week.He has also a widespread maculo papular rush after amoxicillin

10. In phisical examination. marked tonsillar swelling and exudates
In phisical examination * marked tonsillar swelling and exudates * widespread lymphadenopathy * enlarged spleen

13. What is the diagnosis in this 3 cases?

14. 1 – tonsillitis-bacterial infection causes by A beta-heamolytic streptococci 2 – viral rhinosinusitis (common cold) 3 – infectious mononucleosis

15. Cervical lymphadenopathy
Centor criteria: Three or morefeatures inccreases the likelihood that strep A is the cause of the infection
Fever>38 C
Lack of cough
Tonsillar exudates
Cervical lymphadenopathy

16. Treatment – bacterial tonsillitis
Treatment – bacterial tonsillitis * drug therapy: antibiotics first choise is pencillin V at a dose of mg/kg/day or amoxicillin at a dose 50 mg/kg/day for 7-10 days (duration of treatment is debated) second choise is amoxicillin with clavulanic acid or clindamicin allergy to pencillin macrolids like: clarithromycin,azithromycin, spiramycin

17. Treatment of viral infection
Treatment of viral infection * The commmon cold is a self limiting disease * Treatment is symptomatic. Receent systematic reviews have demonstrated that there is no benefit from the administration of antibiotics to patients with VRs * Treatment of nasal obstruction and rhinorrea: antiadrenergic drugs like pseudoephedrine and antihistamines non sedating newer like cetirizin *Analgesic-antipyretics: paracetamol or ibuprofen * Over-the-counter medications(OTC)

18. Treatment of mononucleosis
Treatment of mononucleosis * Mononucleosis is also a self limiting disease * Treatment is symptomatic.
Some major complications should be managed in the hospital setting *

19. Sore throat Sore throats are commmon in family medicine
Sore throat Sore throats are commmon in family medicine. The majority of sore throats are caused by viral infections ( over 200 viruses have been implicated)