Generally may be discharged with ENT follow-up
If no pus can be obtained but there is high suspicion for a<unk> , admit with IV antibiotics (30% neg aspiration still have<unk> 
In pediatric patients 50% respond to med management
shortness of breath
Worsening throat or neck pain
Enlarging mass
Bleeding
Neck stiffness
Peritonsillar abscess
Streptococcal pharyngitis 
Peritonsillar cellulitis
Neisseria gonorrhoeae
Retropharyngeal abscess
Diphtheria 
Epiglottitis
Bacterial Tracheitis