Viral pharyngitis/tonsillitis may present with fever, odynophagia, and petechial or vesicular lesions on the soft palate and tonsils. These symptoms are often associated with cough, rhinorrhea, and congestion. Viral infections typically lack tonsilar exudates and cervical adenopathy except those associated with mononucleosis, influenza, and acute retroviral syndrome. Bacterial pharyngitis, particularly Group A β-Hemolytic Streptococcus Pharyngitis (GABHS), presents with acute onset of fever, sore throat, and odynophagia. Patients often display tonsilar erythema, exudates, and tender anterior cervical adenopathy. Cough, conjunctivitis, and rhinorrhea are typically lacking.