about the project
Medical news
For authors
Licensed books on medicine
<< Previous Next >>

differential diagnosis of angina

Differential diagnosis of angina should be carried out with diseases that occur with tonsillitis syndrome:

a) localized forms of diphtheria (insular and membranous) - differ from angina by the gradual onset of the disease, specific manifestations of general intoxication in the form of pallor of the face, moderate adynamia and lethargy (chills, body aches, muscle and joint pains, characteristic only for tonsillitis), a mismatch between the objective and subjective manifestations of the disease (slight sore throat when swallowing in the presence of pronounced inflammatory changes in the tonsils), the characteristics of the inflammatory process in the oropharynx, characterize egosya stagnant-bluish color pronounced hyperemia and edema of tonsils with the presence on their surfaces hard membranous removes plaque, leaving behind a tissue defect. With an atypical course of diphtheria, which is observed in half of adult patients, plaque is removed easily, without leaving a tissue defect. However, in these cases, the remaining signs characteristic of diphtheria of the pharynx are preserved.

b) angina of Simanovsky-Vincent (fusospirochetosis) - characterized by slightly pronounced general manifestations (short-term subfebrile body temperature, lack of general weakness, headache, etc.), damage to only one tonsil in the form of an ulcer 5-10 mm in size, covered with easily removable yellowish white or whitish-gray plaque, the presence in the preparations from the separated ulcer, stained according to Romanovsky-Giemsa, spindle-shaped sticks and spirochetes. Regional lymphadenitis is not expressed.

c) scarlet fever - it differs from a sore throat by the appearance on the first day of the disease throughout the body, except for the nasolabial triangle, an abundant point rash, located on a hyperemic background, thickening on the neck, side surfaces of the chest and in the Simon triangle and especially pronounced in the natural folds of the skin (symptom Pastia), as well as the characteristic manifestations of tonsillitis in the form of a bright red color of hyperemia of the tonsils, palatine arches, tongue and soft palate ("flaming pharynx").

d) infectious mononucleosis - characteristic, in addition to tonsillitis (purulent-necrotic or fibrinous), polyadenitis, enlargement of the liver and spleen, lymphomonocytosis with the simultaneous appearance of atypical mononuclear cells and plasma cells, as well as a positive CD / PBB reaction.

e) anginal form of tularemia - differs from angina in the relatively late appearance (on day 3-5) of one-sided catarrhal or necrotic tonsillitis, a marked increase in the regional lymph nodes to the affected tonsil, which continue to increase even after the disappearance of tonsillitis (tularemia bubo )

e) for leukemia and agranulocytosis, typically relatively late (on the 3-6th day of the disease) the appearance of necrotic tonsillitis with the spread of necrotic changes in the mucous membrane of the palatine arches, tongue, cheeks; the presence of septic fever, hepatolienal syndrome and characteristic changes in the hemogram (hiatus leucemicus with leukemia and a sharp decrease in the number of neutrophils with agranulocytosis).

g) herpangin - along with fever and intoxication, local changes are observed in the form of hyperemia of the mucous membrane of the oropharynx and the presence on the palatine arches, tongue, soft palate, and sometimes on the tonsils and tongue of individual papules 2-4 mm in diameter, quickly turning into white-gray bubbles and then erosion.

h) oropharyngeal candidiasis - occurs with normal or subfebrile body temperature, well-being of patients, the presence on the surface of the tonsils, tongue, palatine arches, and sometimes on the back wall of the pharynx of a crumbly white plaque in the form of easily removable islands 2-3 mm in diameter .
There is a history of more or less prolonged use of broad-spectrum antibiotics, or combinations thereof.

i) exacerbation of chronic tonsillitis - differs from repeated sore throat with a gradual onset, sluggish and relatively prolonged course of the disease with unstable subfebrile body temperature, lack of severe intoxication, moderate pain and unpleasant sensations in the throat when swallowing, the stagnant nature of hyperemia of scarring and welded with palatine by the arches of the tonsils, the presence of caseous contents in the gaps, an increase in the carbon-maxillary lymph nodes, characterized by a dense texture and moderate pain eznennostyu, normal values ​​in the number of blood neutrophils or slightly pronounced neutrophilic leukocytosis.
<< Previous Next >>
= Skip to textbook content =

differential diagnosis of angina

  1. Differential diagnosis of angina Comparative signs of various forms of angina

  2. differential diagnosis of pharyngeal diphtheria (infectious mononucleosis, tonsillitis)
    For angina, the following differences are characteristic: acute onset (with chills, aches in the body and joints) of the disease, intoxication (severe general weakness, headache, agitation), as well as the purulent nature of tonsillitis. 2. For infectious mononucleosis, the following differences are characteristic: polyadenitis, hepatolienal syndrome, membranous with crumbling, and not a dense coating on tonsils tonsils,
  3. Klyucharyov A.A. et al. Diagnosis and differential diagnosis of liver diseases in children (Manual for Practitioners), 2001

  4. Differential diagnosis
    An attack of bronchial asthma is differentiated with other conditions, which are characterized by acute respiratory failure (see table. 7.1). When examining a patient in the interictal period, chronic lung diseases are excluded. A. Differential diagnosis of an attack of bronchial asthma 1. Infectious diseases of the respiratory tract. Sudden dyspnea and wheezing heard from a distance can
  5. Differential diagnosis
    The differential diagnosis of juvenile is considered in the table. 4. Table 4. Differential diagnosis of Jurassic INDICATIONS FOR CONSULTING OTHER SPECIALISTS Optometrist: all patients with joint damage, decreased visual acuity. Endocrinologist: Cushing's syndrome, impaired growth. Otolaryngologist: foci of chronic infection in the nasopharynx. Dentist, orthodontist: caries, violation
  6. Differential diagnosis
    The pronounced polymorphism of clinical symptoms, the absence of specific signs of the disease in publicly available studies (ECG, radiography, laboratory parameters) determine the complexity of the diagnosis of pulmonary embolism and the need for differential diagnosis with many diseases. Diseases with which you have to differentiate pulmonary embolism: • MI, unstable angina pectoris; •
  7. Differential diagnosis
    In cases of suspected renovascular hypertension, a standard differential diagnosis is performed between hypertension and secondary forms of hypertension of various genesis, and if signs characteristic of renovascular hypertension are detected, the goal of differential diagnosis is to establish the immediate cause of the pathological process, i.e., to establish the etiological form of renovascular hypertension. In most cases, for
  8. Differential diagnosis
    When making a diagnosis of HCM, it is necessary to exclude other possible causes of left ventricular hypertrophy, primarily the "athlete’s heart", acquired and congenital malformations, DCMP, and with a tendency to increase blood pressure - essential arterial hypertension. Differential diagnosis with heart defects accompanied by systolic murmur is especially important in cases of obstructive
    Possible causes of abnormal uterine bleeding include various pathologies of the reproductive system, as well as extragenital diseases. Differential diagnosis of DMC is based on the exclusion of organic causes (reproductive tract diseases, systemic diseases) and iatrogenic
  10. Differential diagnosis
    With a characteristic clinical and radiological picture, the question of differential diagnosis arises in the absence of the expected response to treatment and the torpid course. In these cases, tuberculosis, the “old” foreign body of the bronchus, allergic alveolitis, pulmonary hemosiderosis, as well as a chronic disease (cystic fibrosis, malformation of the bronchus and
  11. Differential diagnosis
    Since fatigue is a very common sign of many diseases, and the criteria for the idiopathic syndrome of chronic fatigue, although clearly defined, can still occur in other diseases, the doctor referred to by such a patient should first of all conduct a full differential diagnosis using all available clinical methods hardware and
  12. Differential diagnosis
    • Arthritis with rheumatism (rheumatic fever): - post-infectious onset (catarrhal sore throat); - migratory lesion of large joints; - benign course of arthritis; - good clinical effect of salicylates, non-steroidal anti-inflammatory drugs; - a combination of arthritis with carditis, prolongation of symptoms of carditis after relief of arthritis. Elevated Captions
  13. Differential diagnosis
    Septic (purulent) arthritis. Acute monoarthritis in the residual period of tonsillitis, pneumonia, after operations in the elderly, with diabetes. High fever with chills, sweats. In the blood there is high leukocytosis, in the synovial fluid there is high cytosis with a predominance of polymophonuclear neutrophils. • Gonococcal arthritis. The clinic is the same as with septic arthritis. Isolation of gonococcus from
    First of all, it is necessary to correctly establish the diagnosis of angina pectoris and determine its shape. To do this, you need to analyze in detail the existing pain in the left half of the chest and the changes in the final part of the ventricular complex of the ECG (depression or ST segment elevation and a negative or high pointed T wave). Further, differential diagnosis is necessary.
  15. Differential diagnosis
    Differential diagnosis of chronic hepatitis B and fatty hepatosis (liver steatosis) is carried out due to the presence of a mild dyspeptic syndrome in the latter and an enlarged liver, which is sensitive to palpation. In the history, as a rule, alcohol abuse, often diabetes, obesity, chronic diseases of the gastrointestinal tract. ALAT activity
  16. Differential diagnosis
    Differential diagnosis of AD most often has to be carried out with the following diseases. Vocal cord dysfunction (pseudo asthma). Bronchiolitis. Foreign body or milk aspiration in infants. Cystic fibrosis. Primary immunodeficiencies. Syndrome of primary ciliary dyskinesia. Tracheo-or bronchomalacia. Malformations of blood vessels, causing external compression of the respiratory tract. Stenosis
  17. Differential diagnosis
    The clinical and immunological manifestations of SLE are extremely diverse and can mimic the clinical picture of many other diseases. Most often, differential diagnosis of SLE must be carried out with the following diseases. Lupus erythematosus is manifested by fever, arthritis, serositis. Most often, lupus erythematosus is caused by hydralazine, isoniazid, procainamide, antibiotics
  18. Differential diagnosis
    Differential diagnosis is carried out between different morphological variants of the primary NS and other types of glomerulopathies, which can be the cause of secondary NS. Acute proliferative glomerulonephritis Post-streptococcal acute GN is the most common and well-studied. The participation of P-hemolytic streptococcus in its occurrence is proved. Post-streptococcal GN usually develops after
  19. Differential diagnosis
    Diagnosis of bronchial asthma in children, especially at an early age, sometimes presents significant difficulties, since episodes of bronchial obstruction that periodically appear can be a manifestation of the most diverse pathology of the respiratory system. It should be borne in mind that the smaller the child’s age, the higher the likelihood that recurring episodes of obstructive syndrome
Medical portal "MedguideBook" © 2014-2019