Les questions essentielles
Absence de symptômes localisés typiques ?
Les symptômes durent-ils depuis plus d'une semaine ?
Une grippe s’accompagne normalement des signes et symptômes suivants :
• début brutal, myalgies, céphalées, état fébrile
• mal de gorge modéré
• toux modérée, non productive, n’empêchant pas le patient
de dormir
• écoulement nasal bilatéral non purulent, avec éternuements,
sans céphalées localisées
Présence d'un ou plusieurs critères de gravité ?
• impossibilité d'avaler la salive
• dyspnée
• auscultation pulmonaire pathologique
• état confusionnel
• mauvais état général
Peut-il s'agir d'une pharyngite bactérienne ?
• fièvre de plus de 38,5°C
• exsudats amygdaliens bilatéraux
• adénopathies bilatérales douloureuses
• absence de toux et de rhume
Présence de symptômes suggestifs d’une sinusite ?
• écoulement nasal ou postérieur purulent
• céphalées localisées, frontales, maxillaires ou ethmoïdales
• inefficacité des décongestionnants nasaux
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