A doctor is assessing a patient with possible tonsillitis. What is the first step in differentiating the cause?

Taking a patient history is crucial when differentiating the cause of tonsillitis. This step allows the healthcare provider to gather comprehensive information about the patient's symptoms, duration of illness, any recent exposures to infections, and health history, including previous episodes of tonsillitis. By understanding these details, the doctor can better determine whether the tonsillitis is viral or bacterial, which is essential for guiding further management.

For instance, if the patient reports a sudden onset of sore throat, fever, and difficulty swallowing, alongside a history of similar episodes, this might lean towards a bacterial cause, often requiring treatment with antibiotics. Conversely, if the patient has had a more gradual onset with accompanying cold symptoms, this could suggest a viral etiology, which generally does not require antibiotics. Ultimately, the patient history sets the stage for clinical assessment and appropriate management.