Causes of Sore Throat / Rhinorrhea - Differential Diagnosis Algorithm
Common viral pathogens: Rhinovirus, Coronavirus, Influenza virus, Parainfluenza Virus, Adenovirus, Herpes Simplex Virus, Enterovirus (Coxsackie, Echo), Epstein Barr Virus, Cytomegalovirus, HIV
Most common bacterial pathogen: Group A Beta Hemolytic Streptococcus pyogenes (GABHS)
Acute Predominantly Rhinorrhea
• Acute Viral Sinusitis
• Acute Bacterial Sinusitis
• Acute Head Cold Syndrome
Chronic Predominantly Rhinorrhea
• Allergic/Vasomotor/Drug Rhinitis
• Nasal Polyposis
• Chronic Sinusitis
• Nasopharyngeal Cancer
Predominantly Sore Throat - Acute Viral
• Acute viral Pharyngitis
• Acute Influenza
• Acute Viral Laryngotracheitis
• Acute Viral Tracheobronchitis
• Acute Infectious Mononucleosis
• Herpangina
Predominantly Sore Throat - Acute Bacterial:
• Streptococcal Tonsillopharyngitis
• Peritonsillar Abscess
• Ludwig' s Angina
Predominantly Sore Throat - Chronic:
• GERD
• Environmental
• Foreign Body
• Neoplasm
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