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When Your Patient Has a Sore Throat
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on cold). ¨ó Dryness of the throat also may becaused by a low-humidity environment. Humodifiers or vaporizers, as well as drinking plenty of fluids to achieve optimal hydration, may help.

¥³. Overuse Syndromes

Patients with sore throat should be asked about overuse, pain might occur with prolonged use of the vocal apparatus, especially when the patient is forced to take in many breaths of cold, dry air.
¨ç The typical situation is cheering for a sports team over the course of several hours on a cold Novem- ber night in the dry indoor environment of a gym .
¨è The cold, dry outdoor environment of a football stadium.
¨é Another example is instructing others in loud voice over a long period.
¨ê Even prolonged singing, such as an hour-long Christmas cantata, can cause sore throat, especially in light of the rehearsal time that precedes the program.

Viral Sore Throat
¨ç Most sore throats are caused by viral assaults. Although hundreds of viruses can produce sore throat, most cases are caused by rhinoviruses, the same agents responsible for the common cold. Usually they produce an acute pharyngitis that is not severe or prolonged.

¢ÁTo help determine whether sore throat is associated with a rhinovirus, the pharmacist should ask about associated common cold symptoms, such as rhinorrhea, nasal blockage, and cough. If the patient does not have any of these symptoms, the pharmacist should suspect other etiologies.

¨è When a virus induces nasal blockage, the patient is forced to mouth breathe, which can worsen a sore throat. Infectious mono nucleosis is another cause of viral sore throat, especially in adolescents in young adults. To recognize mononucleosis, the pharmacist should ask about ancillary symptoms such as anorexia, malaise, chills, headache fever (as high as 104¡Æ F), regional lymphadenopathy, swelling around the eyes, nausea, and vomiting.
¨é These patients should be referred to a physician because a course of steroids may be necessary to reverse res< ÀúÀÛ±ÇÀÚ © ¾à±¹½Å¹® ¹«´ÜÀüÀç ¹× Àç¹èÆ÷±ÝÁö >
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