Sore Throat / Sore Mouth

Key Conditions

Key conditions are the core conditions that the Paediatric Undergraduate and Clerkship Directors of Canada (PUPDOC) felt are essential for graduating medical students to know. The Key Conditions are neither a differential diagnosis nor a clinical approach. They highlight conditions that may be unique to paediatrics, that are essential, or that are common. Key Conditions can present in a number of ways – each is listed as under the most common Clinical Presentation.

• Dental Disease
• Oral Thrush
• Peritonsillar Abscess
• Pharyngitis
• Retropharyngeal Cellulitis / Abscess
• Stomatitis

Clinical Approach

Clinical approaches represent one of many methods to think through a clinical presentation, and narrow down a differential diagnosis. There are many conditions that can present with similar symptomatology. These presentations are not meant to contain an exhaustive list of differential diagnoses, but rather outline how to think through patient signs and symptoms, and understand some of the most common and important Paediatric conditions. There are many different ways to approach any clinical presentation, and these approaches are not meant to replace clinical judgement.

Pre-Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Clinically recognize and propose an investigation and management plan for patients with:
   1. Oral thrush
   2. Peritonsillar abscess
   3. Pharyngitis
   4. Retropharyngeal abscess / cellulitis
   5. Stomatitis List the factors associated with dental decay in paediatric patients and counsel parents regarding the prevention of dental caries.
2. List the factors associated with dental decay in paediatric patients and counsel parents regarding the prevention of dental caries.

Half Day Cases

• A 5 year old child has had a cough for 2 days, and complains of severe pain to the throat. You look inside and it appears red. You feel small mobile lymph nodes to the neck bilaterally. The child has a runny nose. The family is wondering if antibiotics should be started
• This same family above is wondering what are the potential complications if their child has Group A Streptococcus pharyngitis, and it is not treated

Resources

The following resources have been reviewed and collated by canuc-paeds. These resources are aimed to provide information at the level of the medical student. These include overviews of topics, clinical resources, and useful guidelines that contain relevant materials.