Get Answer: Pharyngitis Case Study Question Guide
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Original Question
Pharyngitis Case Study Part II You are looking at your list of patients for the day and note that the above patient is returning to your office 3-days later. Chief Complaint: worsening sore throat HPI: 23-year-old white female comes in to the office today for a follow-up visit with now worsening sore throat pain. She was diagnosed in the office 3 days ago and has been taking the prescribed treatment. She states her pain is worse and it’s difficult to talk. She has not been eating or drinking due to the pain. She reports nausea but denies vomiting. Question #1 What other questions would you ask the patient in the HPI? (5 points) Question #2 STOP! Do not read any further. What are your top 5 differentials just based off of the HPI? Provide your rationale with source. (5 points) PMH: hypertension PSH: appendectomy 2015 Allergies: penicillin – anaphylaxis Immunizations: reports UTD What #3 What specific immunization would you ask about and why? (2 points) 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 Question #4What other body systems would you consider asking positives and negatives about? (2 points) Vital Signs: 101.8, 111 bpm, 16 RR, 98/72, 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 You take a picture of the patient’s throat and it looks like this: Question #5 What do you suspect is happening with your patient? (Tell me your differentials and rationales in order of priority). Question #6 What is your next course of action?
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