ICU Decoded › Library › OPD › ENT › Sore throat / tonsillitisSore throat / tonsillitis
ENT · OPD · Locked · first month free
By Dr Javed Akhtar · Last reviewed 2 October 2026
Drugs on this card
Paracetamol, Ibuprofen
If streptococcal likely (Centor/FeverPAIN 3 or more): Amoxicillin, Benzathine penicillin (single injection, poor adherence or rheumatic risk; skin test first), Azithromycin (penicillin anaphylaxis; non-anaphylactic allergy: cephalexin)
Investigations
First visit No routine tests — Use the Centor/McIsaac score: 0–2 needs no antibiotic and no test.Only if indicated Throat swab culture or rapid strep test — Score 3 or more, rheumatic risk (5–15 years), or recurrent episodes.CBC with smear — Membrane, splenomegaly or lymph nodes everywhere — infectious mononucleosis or diphtheria; throat swab for diphtheria too.ASO titre — Only if rheumatic fever is suspected (joint pain, carditis) — not for a simple sore throat.
Locked The adult dose for each drug The child dose, where the card gives one Indian brand names for each drug, with a link to buy Open Sore throat / tonsillitis in OPD
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