Editing Streptococcal pharyngitis (section)

==Signs and symptoms==
The typical signs and symptoms of streptococcal pharyngitis are a [[sore throat]], [[fever]] of greater than {{convert|38|C|F}}, tonsillar exudates ([[pus]] on the [[tonsils]]), and large [[cervical lymph nodes]].<ref name=Review09/>

Other symptoms include: [[headache]], [[nausea]] and [[vomiting]], [[abdominal pain]],<ref name=Review06>{{cite journal |vauthors=Brook I, Dohar JE | title = Management of group A beta-hemolytic streptococcal pharyngotonsillitis in children | journal = J Fam Pract | volume = 55 | issue = 12 |pages = S1–11; quiz S12 |date=December 2006 | pmid = 17137534 }}</ref> [[myalgia|muscle pain]],<ref name=Review2001/> or a [[scarlatiniform rash]] or [[palatal petechiae]], the latter being an uncommon but highly [[Sensitivity and specificity|specific]] finding.<ref name=Review09/>

Symptoms typically begin one to three days after exposure and last seven to ten days.<ref name=Goroll2009/><ref name=Review09/>

Strep throat is unlikely when any of the symptoms of [[conjunctivitis|red eyes]], hoarseness, runny nose, or mouth ulcers are present. It is also unlikely when there is no fever.<ref name=IDSA2012/>

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File:StrepAug2010.JPG|Mouth wide open showing the throat<br />A throat infection which on culture tested positive for group A streptococcus. Note the large tonsils with white [[exudate]].
File:Streptococcal pharyngitis.jpg|Mouth wide open showing the throat<br />Note the [[petechiae]], or small red spots, on the [[soft palate]]. This is an uncommon but highly [[Sensitivity and specificity|specific]] finding in streptococcal pharyngitis.<ref name=Review09/>
File:Strep throat2010.JPG|A set of large tonsils in the back of the throat, covered in white exudate.<br />This is a culture-positive case of streptococcal pharyngitis with typical tonsillar exudate in an 8-year-old.
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