A Sore Throat

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A Sore Throat
Your patient is a 5-year-old boy who awoke on the
day prior to evaluation with a sore throat and
fever. His mother had him stay home from
kindergarten and treated him symptomatically with
Tylenol. He slept well but the next day awoke
still complaining of sore throat and fever, as
well as headache and abdominal pain. He was an
only child and neither parent was ill.
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• On physical examination, he has a fever of
  38.4ºC.
• His anterior cervical lymph nodes at the angle of
  the mandible were slightly enlarged and tender.
• No skin lesions or rashes were seen.

• What is a normal temperature?
• How bad is the pain?
• Name three causes for the patients sore throat?
• List the patients signs and symptoms in two
  columns.
• What do you do next?

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• On physical examination, he has a fever of
  38.4ºC.
• His anterior cervical lymph nodes at the angle of
  the mandible were slightly enlarged and tender.
• No skin lesions or rashes were seen.

• What is a normal temperature?
• How bad is the pain?
• Name three causes for the patients sore throat?
• List the patients signs and symptoms in two
  columns.
• What do you do next?

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(No Transcript)
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• On physical examination, he has a fever of
  38.4ºC.
• His anterior cervical lymph nodes at the angle of
  the mandible were slightly enlarged and tender.
• No skin lesions or rashes were seen.

• What is a normal temperature?
• How bad is the pain?
• Name three causes for the patients sore throat?
• List the patients signs and symptoms in two
  columns.
• What do you do next?

8

• On physical examination, he has a fever of
  38.4ºC.
• His anterior cervical lymph nodes at the angle of
  the mandible were slightly enlarged and tender.
• No skin lesions or rashes were seen.

• What is a normal temperature?
• How bad is the pain?
• List the patients signs and symptoms in two
  columns.
• Name three causes for the patients sore throat?
• What do you do next?

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What kind of bacteria do you see?
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Which bacterium do you suspect is the cause of
the sore throat?
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Scarlet fever
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