Muhrer J C
CAMcare Canden, NJ.
Nurse Pract. 1991 Sep;16(9):33-8, 41, 45.
Adults with sore throats make 40 million visits to medical facilities each year, and sore throat is the third most common reason for visits to primary care practitioners. While often associated with pharyngitis, a complaint of sore throat may also herald a variety of other underlying disorders, both common and uncommon. These disorders range from local to systemic diseases, and include infectious as well as non-infectious etiologies. This article focuses on the differential diagnosis of sore throat and reviews useful approaches to the evaluation of this prevalent symptom. Specific strategies for history taking, key findings to look for on physical exam and recommendations for the selection of appropriate laboratory studies are included. A summary of management options for the more common problems is also provided.
患有咽喉痛的成年人每年前往医疗机构就诊达4000万人次，咽喉痛是就诊于初级保健医生的第三大常见原因。虽然咽喉痛常与咽炎相关，但咽喉痛的主诉也可能预示着各种其他潜在疾病，包括常见的和不常见的。这些疾病范围从局部疾病到全身性疾病，包括感染性和非感染性病因。本文重点关注咽喉痛的鉴别诊断，并回顾评估这一常见症状的有用方法。包括病史采集的具体策略、体格检查中要寻找的关键发现以及选择适当实验室检查的建议。还提供了针对较常见问题的管理选项总结。
