{
    "section": "plan",
    "templateSet": "Pharyngitis, Pedi",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Strep tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rapid streptococcal antigen test, throat swab",
                            "template": "Rapid streptococcal antigen test, throat swab"
                        },
                        {
                            "text": "Bacterial culture, throat",
                            "template": "Bacterial culture, throat"
                        }
                    ]
                },
                {
                    "text": "Influenza tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rapid influenza diagnostic test (RIDT)",
                            "template": "Rapid influenza diagnostic test (RIDT)"
                        }
                    ]
                },
                {
                    "text": "Other pathogen tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Mononucleosis heterophile antibody test, serum",
                            "template": "Mononucleosis heterophile antibody test, serum"
                        },
                        {
                            "text": "Culture+PCR, nasopharyngeal swab, pertussis",
                            "template": "Culture+PCR, nasopharyngeal swab, pertussis"
                        },
                        {
                            "text": "Culture+PCR, nasopharyngeal aspirate, pertussis",
                            "template": "Culture+PCR, nasopharyngeal aspirate, pertussis"
                        },
                        {
                            "text": "Culture, pharynx, Neisseria gonorrhoeae (GC)",
                            "template": "Culture, pharynx, Neisseria gonorrhoeae (GC)"
                        }
                    ]
                },
                {
                    "text": "Blood tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "HIV-1+HIV-2 antibody screen, rapid test",
                            "template": "HIV-1+HIV-2 antibody screen, rapid test"
                        },
                        {
                            "text": "HIV-1 RNA quantification, PCR, plasma",
                            "template": "HIV-1 RNA quantification, PCR, plasma"
                        },
                        {
                            "text": "Mononucleosis heterophile antibody test, serum",
                            "template": "Mononucleosis heterophile antibody test, serum"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Plain films",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray neck lateral",
                            "template": "X-ray neck lateral"
                        },
                        {
                            "text": "X-ray sinuses, Waters",
                            "template": "X-ray sinuses, Waters"
                        }
                    ]
                },
                {
                    "text": "CT imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT sinuses",
                            "template": "CT sinuses"
                        },
                        {
                            "text": "CT head and neck",
                            "template": "CT head and neck"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Symptom relief",
            "template": "{children}",
            "children": [
                {
                    "text": "OTC pain relievers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        },
                        {
                            "text": "Take acetaminophen OTC prn",
                            "template": "Take acetaminophen OTC prn"
                        },
                        {
                            "text": "(Children >6 mo old) Take OTC ibuprofen prn w\/ food",
                            "template": "(Children >6 mo old) Take OTC ibuprofen prn w\/ food"
                        },
                        {
                            "text": "acetaminophen suspension",
                            "template": "acetaminophen suspension"
                        },
                        {
                            "text": "ibuprofen suspension",
                            "template": "ibuprofen suspension"
                        }
                    ]
                },
                {
                    "text": "Topical analgesia",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Use OTC phenol\/benzocaine throat spray (Cepacol, Chloraseptic, Vicks) prn",
                            "template": "Use OTC phenol\/benzocaine throat spray (Cepacol, Chloraseptic, Vicks) prn"
                        },
                        {
                            "text": "Use OTC benzocaine\/menthol throat lozenges (Cepacol, Chloraseptic, Vicks) prn",
                            "template": "Use OTC benzocaine\/menthol throat lozenges (Cepacol, Chloraseptic, Vicks) prn"
                        },
                        {
                            "text": "Magic Mouthwash",
                            "template": "Magic Mouthwash"
                        },
                        {
                            "text": "Magic Mouthwash",
                            "template": "Magic Mouthwash"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Antibiotics",
            "template": "{children}",
            "children": [
                {
                    "text": "Strep pharyngitis initial tx: no penicillin allergy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Patient weight <27 kg",
                            "template": "Patient weight <27 kg"
                        },
                        {
                            "text": "Patient weight >27 kg",
                            "template": "Patient weight >27 kg"
                        },
                        {
                            "text": "Patient age >12 yo",
                            "template": "Patient age >12 yo"
                        },
                        {
                            "text": "penicillin VK 250 mg per 5 mL suspension",
                            "template": "penicillin VK 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin 250 mg per 5 mL suspension",
                            "template": "amoxicillin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin 400 mg per 5 mL suspension",
                            "template": "amoxicillin 400 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin 250 mg chew tab",
                            "template": "amoxicillin 250 mg chew tab"
                        },
                        {
                            "text": "Bicillin LA INJ",
                            "template": "Bicillin LA INJ"
                        },
                        {
                            "text": "penicillin VK 250 mg per 5 mL suspension",
                            "template": "penicillin VK 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "penicillin VK 500 mg tab",
                            "template": "penicillin VK 500 mg tab"
                        },
                        {
                            "text": "amoxicillin 250 mg per 5 mL suspension",
                            "template": "amoxicillin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin 400 mg per 5 mL suspension",
                            "template": "amoxicillin 400 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin 250 mg chew tab",
                            "template": "amoxicillin 250 mg chew tab"
                        },
                        {
                            "text": "amoxicillin 250 mg chew tab",
                            "template": "amoxicillin 250 mg chew tab"
                        },
                        {
                            "text": "amoxicillin 400 mg chew tab",
                            "template": "amoxicillin 400 mg chew tab"
                        },
                        {
                            "text": "amoxicillin 500 mg tab",
                            "template": "amoxicillin 500 mg tab"
                        },
                        {
                            "text": "Bicillin LA INJ",
                            "template": "Bicillin LA INJ"
                        },
                        {
                            "text": "Moxatag 775 mg ER tab",
                            "template": "Moxatag 775 mg ER tab"
                        }
                    ]
                },
                {
                    "text": "Strep pharyngitis initial tx: Penicillin allergy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Cephalexin",
                            "template": "Cephalexin"
                        },
                        {
                            "text": "Patient weight <12.5 kg",
                            "template": "Patient weight <12.5 kg"
                        },
                        {
                            "text": "Patient weight 12.5-20 kg",
                            "template": "Patient weight 12.5-20 kg"
                        },
                        {
                            "text": "Patient weight >20 kg",
                            "template": "Patient weight >20 kg"
                        },
                        {
                            "text": "Clindamycin",
                            "template": "Clindamycin"
                        },
                        {
                            "text": "Patient weight <15 kg",
                            "template": "Patient weight <15 kg"
                        },
                        {
                            "text": "Patient weight 15-22.5 kg",
                            "template": "Patient weight 15-22.5 kg"
                        },
                        {
                            "text": "Patient weight 22.5-30 kg",
                            "template": "Patient weight 22.5-30 kg"
                        },
                        {
                            "text": "Patient weight >30 kg",
                            "template": "Patient weight >30 kg"
                        },
                        {
                            "text": "Azithromycin",
                            "template": "Azithromycin"
                        },
                        {
                            "text": "Patient age >2 yo",
                            "template": "Patient age >2 yo"
                        },
                        {
                            "text": "Patient age >12 yo and weight >40 kg",
                            "template": "Patient age >12 yo and weight >40 kg"
                        },
                        {
                            "text": "cephalexin 250 mg per 5 mL suspension",
                            "template": "cephalexin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "cephalexin 250 mg per 5 mL suspension",
                            "template": "cephalexin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "cephalexin 250 mg tab",
                            "template": "cephalexin 250 mg tab"
                        },
                        {
                            "text": "cephalexin 250 mg per 5 mL suspension",
                            "template": "cephalexin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "cephalexin 500 mg tab",
                            "template": "cephalexin 500 mg tab"
                        },
                        {
                            "text": "clindamycin 75 mg per 5 mL solution",
                            "template": "clindamycin 75 mg per 5 mL solution"
                        },
                        {
                            "text": "clindamycin 75 mg per 5 mL solution",
                            "template": "clindamycin 75 mg per 5 mL solution"
                        },
                        {
                            "text": "clindamycin 150 mg cap",
                            "template": "clindamycin 150 mg cap"
                        },
                        {
                            "text": "clindamycin 75 mg per 5 mL solution",
                            "template": "clindamycin 75 mg per 5 mL solution"
                        },
                        {
                            "text": "clindamycin 150 mg cap",
                            "template": "clindamycin 150 mg cap"
                        },
                        {
                            "text": "clindamycin 300 mg cap",
                            "template": "clindamycin 300 mg cap"
                        },
                        {
                            "text": "azithromycin 200 mg per 5 mL suspension",
                            "template": "azithromycin 200 mg per 5 mL suspension"
                        },
                        {
                            "text": "azithromycin 250 mg pack",
                            "template": "azithromycin 250 mg pack"
                        }
                    ]
                },
                {
                    "text": "Recurrent Strep pharyngitis, multiple episodes",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Clindamycin",
                            "template": "Clindamycin"
                        },
                        {
                            "text": "Patient weight <15 kg",
                            "template": "Patient weight <15 kg"
                        },
                        {
                            "text": "Patient weight 15-22.5 kg",
                            "template": "Patient weight 15-22.5 kg"
                        },
                        {
                            "text": "Patient weight 22.5-30 kg",
                            "template": "Patient weight 22.5-30 kg"
                        },
                        {
                            "text": "Patient weight >30 kg",
                            "template": "Patient weight >30 kg"
                        },
                        {
                            "text": "Amoxicillin\/clavulanate",
                            "template": "Amoxicillin\/clavulanate"
                        },
                        {
                            "text": "Patient age <3 mo",
                            "template": "Patient age <3 mo"
                        },
                        {
                            "text": "Patient age >3 mo and weight <40 kg",
                            "template": "Patient age >3 mo and weight <40 kg"
                        },
                        {
                            "text": "Patient weight >40 kg",
                            "template": "Patient weight >40 kg"
                        },
                        {
                            "text": "Penicillin INJ",
                            "template": "Penicillin INJ"
                        },
                        {
                            "text": "Patient weight <27 kg",
                            "template": "Patient weight <27 kg"
                        },
                        {
                            "text": "Patient weight >27 kg",
                            "template": "Patient weight >27 kg"
                        },
                        {
                            "text": "clindamycin 75 mg per 5 mL solution",
                            "template": "clindamycin 75 mg per 5 mL solution"
                        },
                        {
                            "text": "clindamycin 75 mg per 5 mL solution",
                            "template": "clindamycin 75 mg per 5 mL solution"
                        },
                        {
                            "text": "clindamycin 150 mg cap",
                            "template": "clindamycin 150 mg cap"
                        },
                        {
                            "text": "clindamycin 75 mg per 5 mL solution",
                            "template": "clindamycin 75 mg per 5 mL solution"
                        },
                        {
                            "text": "clindamycin 150 mg cap",
                            "template": "clindamycin 150 mg cap"
                        },
                        {
                            "text": "clindamycin 300 mg cap",
                            "template": "clindamycin 300 mg cap"
                        },
                        {
                            "text": "Augmentin 125 mg\/31.25 mg per 5 mL suspension",
                            "template": "Augmentin 125 mg\/31.25 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin\/clavulanate 250 mg\/62.5 mg per 5 mL suspension",
                            "template": "amoxicillin\/clavulanate 250 mg\/62.5 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin\/clavulanate 500 mg\/125 mg tab",
                            "template": "amoxicillin\/clavulanate 500 mg\/125 mg tab"
                        },
                        {
                            "text": "Bicillin LA INJ",
                            "template": "Bicillin LA INJ"
                        },
                        {
                            "text": "Bicillin LA INJ",
                            "template": "Bicillin LA INJ"
                        }
                    ]
                },
                {
                    "text": "Strep carrier state eradication",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Cephalexin",
                            "template": "Cephalexin"
                        },
                        {
                            "text": "Patient weight <12.5 kg",
                            "template": "Patient weight <12.5 kg"
                        },
                        {
                            "text": "Patient weight 12.5-20 kg",
                            "template": "Patient weight 12.5-20 kg"
                        },
                        {
                            "text": "Patient weight >20 kg",
                            "template": "Patient weight >20 kg"
                        },
                        {
                            "text": "Clindamycin",
                            "template": "Clindamycin"
                        },
                        {
                            "text": "Patient weight <15 kg",
                            "template": "Patient weight <15 kg"
                        },
                        {
                            "text": "Patient weight 15-22.5 kg",
                            "template": "Patient weight 15-22.5 kg"
                        },
                        {
                            "text": "Patient weight 22.5-30 kg",
                            "template": "Patient weight 22.5-30 kg"
                        },
                        {
                            "text": "Patient weight >30 kg",
                            "template": "Patient weight >30 kg"
                        },
                        {
                            "text": "cephalexin 250 mg per 5 mL suspension",
                            "template": "cephalexin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "cephalexin 250 mg per 5 mL suspension",
                            "template": "cephalexin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "cephalexin 250 mg tab",
                            "template": "cephalexin 250 mg tab"
                        },
                        {
                            "text": "cephalexin 250 mg per 5 mL suspension",
                            "template": "cephalexin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "cephalexin 500 mg tab",
                            "template": "cephalexin 500 mg tab"
                        },
                        {
                            "text": "clindamycin 75 mg per 5 mL solution",
                            "template": "clindamycin 75 mg per 5 mL solution"
                        },
                        {
                            "text": "clindamycin 75 mg per 5 mL solution",
                            "template": "clindamycin 75 mg per 5 mL solution"
                        },
                        {
                            "text": "clindamycin 150 mg cap",
                            "template": "clindamycin 150 mg cap"
                        },
                        {
                            "text": "clindamycin 75 mg per 5 mL solution",
                            "template": "clindamycin 75 mg per 5 mL solution"
                        },
                        {
                            "text": "clindamycin 150 mg cap",
                            "template": "clindamycin 150 mg cap"
                        },
                        {
                            "text": "clindamycin 300 mg cap",
                            "template": "clindamycin 300 mg cap"
                        }
                    ]
                },
                {
                    "text": "Household contact of Strep case",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Asymptomatic patients: Routine test\/tx not required except in specific situations\n                            ",
                            "template": "Asymptomatic patients: Routine test\/tx not required except in specific situations\n                            "
                        },
                        {
                            "text": "Symptomatic: Test vs. empiric tx if household contact of lab-proven case",
                            "template": "Symptomatic: Test vs. empiric tx if household contact of lab-proven case"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Immunizations",
            "template": "{children}",
            "children": [
                {
                    "text": "Immunizations",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vaccination, influenza",
                            "template": "Vaccination, influenza"
                        },
                        {
                            "text": "Vaccination, Tdap",
                            "template": "Vaccination, Tdap"
                        },
                        {
                            "text": "Vaccination, pneumococcus, conjugate",
                            "template": "Vaccination, pneumococcus, conjugate"
                        },
                        {
                            "text": "Vaccination, meningococcus",
                            "template": "Vaccination, meningococcus"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Call if no improvement in 24-48h",
                            "template": "Call if no improvement in 24-48h"
                        },
                        {
                            "text": "Counseling given about when antibiotics are an appropriate tx",
                            "template": "Counseling given about when antibiotics are an appropriate tx"
                        }
                    ]
                },
                {
                    "text": "OTC pain relievers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        },
                        {
                            "text": "Take acetaminophen OTC prn",
                            "template": "Take acetaminophen OTC prn"
                        },
                        {
                            "text": "(Children >6 mo old) Take ibuprofen OTC w\/ food prn",
                            "template": "(Children >6 mo old) Take ibuprofen OTC w\/ food prn"
                        }
                    ]
                },
                {
                    "text": "Topical analgesia",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Use OTC phenol\/benzocaine throat spray (Cepacol, Chloraseptic, Vicks) prn",
                            "template": "Use OTC phenol\/benzocaine throat spray (Cepacol, Chloraseptic, Vicks) prn"
                        },
                        {
                            "text": "Use OTC benzocaine\/menthol throat lozenges (Cepacol, Chloraseptic, Vicks) prn",
                            "template": "Use OTC benzocaine\/menthol throat lozenges (Cepacol, Chloraseptic, Vicks) prn"
                        }
                    ]
                },
                {
                    "text": "Home symptom care",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Get rest",
                            "template": "Get rest"
                        },
                        {
                            "text": "Drink fluids (water, broth) but avoid alcohol, soft drinks, acidic food\/drink items\n                            ",
                            "template": "Drink fluids (water, broth) but avoid alcohol, soft drinks, acidic food\/drink items\n                            "
                        },
                        {
                            "text": "Monitor for signs of dehydration (decreased urine output, lack of tears when crying,\n                                increased thirst)\n                            ",
                            "template": "Monitor for signs of dehydration (decreased urine output, lack of tears when crying,\n                                increased thirst)\n                            "
                        },
                        {
                            "text": "Avoid smoke and other irritants",
                            "template": "Avoid smoke and other irritants"
                        },
                        {
                            "text": "Follow a soft diet but avoid acidic food\/drink items",
                            "template": "Follow a soft diet but avoid acidic food\/drink items"
                        },
                        {
                            "text": "(Children >8 yo) Gargle daily w\/ salt water (1\/2 teaspoon in 8 oz glass of\n                                water)\n                            ",
                            "template": "(Children >8 yo) Gargle daily w\/ salt water (1\/2 teaspoon in 8 oz glass of\n                                water)\n                            "
                        },
                        {
                            "text": "(Children >3 yo) Suck on hard candies\/lozenges for sx relief",
                            "template": "(Children >3 yo) Suck on hard candies\/lozenges for sx relief"
                        },
                        {
                            "text": "Pharyngitis instructions given",
                            "template": "Pharyngitis instructions given"
                        }
                    ]
                },
                {
                    "text": "Resume school",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Resume school\/activities as tolerated",
                            "template": "Resume school\/activities as tolerated"
                        },
                        {
                            "text": "Resume school\/activities when afebrile (>24 hours w\/o fever reducers)",
                            "template": "Resume school\/activities when afebrile (>24 hours w\/o fever reducers)"
                        },
                        {
                            "text": "Resume school\/activities in one week",
                            "template": "Resume school\/activities in one week"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up, Referrals",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visit",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Call physician if no improvement in 24-48 hours",
                            "template": "Call physician if no improvement in 24-48 hours"
                        },
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "text": "Return visit in 2-4 days",
                            "template": "Return visit in 2-4 days"
                        },
                        {
                            "text": "Return visit in 5-7 days",
                            "template": "Return visit in 5-7 days"
                        },
                        {
                            "text": "Return visit in 7-10 days",
                            "template": "Return visit in 7-10 days"
                        },
                        {
                            "text": "Return visit in 2 wks",
                            "template": "Return visit in 2 wks"
                        },
                        {
                            "text": "Return visit in 4 wks",
                            "template": "Return visit in 4 wks"
                        }
                    ]
                },
                {
                    "text": "Admit to ER",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Admit to ER",
                            "template": "Admit to ER"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to ENT",
                            "template": "Refer to ENT"
                        },
                        {
                            "text": "Refer to ID",
                            "template": "Refer to ID"
                        }
                    ]
                }
            ]
        }
    ]
}