A member asked:

I have tonsillitis, i saw white dots and one side is more swollen. painful on swallowing fever etc. my gp prescribed antibiotics without seeing me?

A doctor has provided 1 answer
Dr. Corey Clay answered

Specializes in Allergy and Immunology

Thoughts: The gp almost certainly suspects strep throat. If the following 4 criteria are met, then there is 38-63% likelihood: 1) no cough, 2) fever, 3) tonsillar exudate and 4) tender lymph nodes in front of neck. This is not perfect, so in the US it is recommended that testing be done to confirm. Waiting for culture results to initiate antibiotics does not increase risk of rheumatic fever.

Answered 5/11/2015

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