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Acute Pharyngitis in Children
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Viral features → supportive. Otherwise rapid strep.
Decision
Outcome
Decision
Pediatric pharyngitis. Viral features (cough, conjunctivitis, oral ulcers)?
✓
Yes → supportive care
✓
No → rapid streptococcal antigen test
Outcome
Supportive care; hydration, analgesics
Decision
RADT result?
✓
Positive → oral penicillin or amoxicillin
✓
Negative → throat culture (always backup in peds)
Outcome
Penicillin V or amoxicillin × 10 days (azithromycin or clindamycin if penicillin allergic)
Treatment prevents rheumatic fever and reduces transmission.
Decision
Culture result?
✓
Positive → treat as strep
✓
Negative → viral pharyngitis