Holiday Sore Throat: are Antibiotics required?

Outline five specific abnormal findings you would look for when examining this patient, both generally and on examination of the mouth and pharynx.

Having excluded more serious causes for the patient’s sore throat, your differential diagnosis lies between a viral and group A beta haemolytic streptococcal (GABHS) tonsillopharyngitis.

Which factors in the history and examination would guide you in your decision whether to administer antibiotics to this patient?

In this patient you decide to prescribe a course of antibiotics. Outline which antibiotic you would prescribe and what other treatments may be useful in this situation.