TY - CHAP M1 - Book, Section TI - Streptococcal Pharyngitis A1 - Simel, David L. A1 - Rennie, Drummond PY - 2016 T2 - The Rational Clinical Examination: Evidence-Based Clinical Diagnosis AB - No matter what the patient's age, most cases of pharyngitis will not be attributable to streptococcus. During the general physical examination, clinicians should consider performing a throat culture or rapid antigen test, but only in tandem with the Centor score. None of the univariate signs or symptoms associated with pharyngitis has high enough sensitivity and specificity for diagnosis according to clinical grounds alone. The greatest utility for the Centor score is in identifying patients for whom a throat culture or rapid streptococcal test should be performed because the score itself is not sufficient for confirming a diagnosis of streptococcal pharyngitis. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - jamaevidence.mhmedical.com/content.aspx?aid=3487472 ER -