How to Answer Pharyngitis Case Study Questions (Complete Guide)

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Original Question

Pharyngitis Case Study Part III The patient is now presenting to the emergency department. Chief Complaint: worsening sore throat HPI: 23-year-old white female arrives to the ED via self-transportation with a 6 day c/o worsening sore throat. She was started on (xxx treatment) three days ago and she feels much worse. It’s difficult to talk. She has not been eating or drinking due to the pain. She reports nausea but denies vomiting. She denies cough, shortness of breath, or difficulty breathing. PMH: hypertension PSH: appendectomy 2015 Allergies: penicillin – anaphylaxis Immunizations: reports UTD Review of Systems: General: c/o subjective fevers and chills Skin, hair, nails: denies rash Eyes: denies eye redness or drainage Nose/Sinuses: c/o runny, stuffy nose Throat/mouth: c/o sore throat pain Vital Signs: 99.8, 108 bpm, 16 RR, 104/72, SpO2 99% RA Physical Exam: General: acutely ill-appearing female, well-nourished, well-groomed Skin, hair, nails: no obvious skin rash Ears: bilateral TMs are without erythema but bulging with clear fluid noted behind eardrum Throat/mouth: oropharynx with erythema, edema. Tonsils 2+ on the left and 3+ on the right. No exudate. Uvula is deviated. +hot potato voice. + subjective trismus Neck: tender, submandibular lymph nodes bilaterally. Non-meningismus Gastrointestinal: soft, nontender, nondistended. Normoactive bowel sounds throughout Question #1 What laboratory testing would you order and why? (8 points) Question #2 What diagnostic testing would you order and why? (10 points) Question #3 What is your primary diagnosis and why? (Do the best you can with the information you have.) (5 points) Question #3 What medications would you order and why? (5 points) Question #4 What referral would you request and why? (1 point) Question #5 What procedure (if any) do you anticipate this patient needing? (1 point) Question #5 Would you admit this patient? (1 point)

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