Sore Throat
Cardiovascular System
0
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M9_F1.jpg"}},{"insert":"\n\n"},{"insert":"\u0022I can\u0027t believe it!\u0022, you think as you park your car and head towards the hospital.\n\nIt is New Year\u0027s eve, and you\u0027ve pulled the short straw again, for the third time in a row ....\n\nFuming that the entire system of pulling straws is fundamentally flawed, you walk into your office and see the first patient of the day.\n"}]}
1
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M9_F2.jpg"}},{"insert":"\n\n"},{"insert":"Thirty-two year old Mr. Campbell complains of experiencing a sore throat, fever, and malaise for the past 6 days. He claims that he was in perfect health earlier.\n\nThere is no history of a cough, rhinorrhea, or hoarseness.\n\nHe does not recall being in the vicinity of anyone who was sick. Neither has he traveled abroad recently.\n\nHis medical and surgical histories are also unremarkable.\n\nMr Campbell also happens to be the hospital Director\u0027s golfing buddy .....\n"}]}
2
{"ops":[{"insert":"You proceed on to the examination, when you note his pulse to be 90 bpm, with a blood pressure of 110\/80 mmHg.\n\nYou are not completely sure, but Mr. Campbell also seems to be ever-so-slightly pale.\n\nExamination of the throat shows it to be swollen and erythematous. No oral ulcers are present.\n\nIn addition, multiple small and tender cervical lymph nodes can be palpated on both sides of the neck.\n\nThe remainder of the examination reveals no abnormal findings.\n"}]}
3
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M9_F4.jpg"}},{"insert":"\n\n"},{"insert":"You decide to order a complete blood count, and a monospot test.\n\nThe former is significant for significant for a leukocyte count of 12,600\/mm3 with 93% neutrophils. The latter is negative.\n\nYou wonder if Mr. Campbell might be suffering from acute pharyngitis ....\n"}]}
4
{"ops":[{"insert":"What will you do now?\n"}]}
1. Prescribe Acetaminophen only, as this is probably a viral infection
2. Prescribe oral antibiotics and Acetaminophen both
3. Request a rapid antigen detection test for group A Streptococci
6
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8
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7
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5
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