He was brought in because he had a fever, was cranky
June 21st, 2018
At the Mount Union hospital, a 5-year old white male child in good general health and physical condition was presented at the Saturday walk-in clinic by his mother. He was brought in because he had a fever, was cranky and had complained of a sore throat for about 24 hours. On physical examination by the attending resident, the patient had a fever of 39.3C, and he had considerable swelling and drainage of the pharynx and in the conjunctivae. His tonsils were enlarged and coated with a white patchy exudate. He had a red throat and swollen anterior cervical lymph nodes. His ears were clear. His chest sounded clear and he had no additional remarkable findings on routine examination.
- What would be your presumptive diagnosis for this child? Why?
- What diagnostic testing would be indicated to follow this exam?
- What is the most likely treatment for this illness? Why is it important?
- What factors of this case allowed you to make a presumptive diagnosis?
