Case 2 – Sore Throat

You are seeing Tom, a 10 year old boy, in your outpatient clinic today for a sore throat. Take a focused history of his complaint and perform the relevant physical examination.


  • Onset of sore throat
  • Severity
  • Alleviating factors
  • Aggravating factors
  • Change in voice
  • Presence of fever
  • Odynophagia
  • Associated cough, sputum production
  • Shortness of breath
  • Neck tenderness and swelling
  • Otalgia
  • Recent upper respiratory illness
  • Personal history of throat infections
  • Infectious contacts
  • Allergies to medication
  • Vaccination history
  • Development history

Physical Examination


  • Uses tongue depressor and light to examine oropharynx
  • Comments on the presence of erythema and exudates in oropharynx
  • Comments on other findings in the oropharynx e.g. enlarged tonsils, lesions, deviated uvula

Node Examination

  • Palpates the lymph nodes of the head and neck
  • Names the nodal regions which are being palpated
  • Comments on the size, texture, mobility, and location of nodes that are identified
  • Asks patient about tenderness during examination


  • Auscultates in all lung fields
  • Comments on findings
Case 2 – Sore Throat