A 4-year-old girl in the pediatric emergency room has been diagnosed with tonsillitis. When assessing the patient, which of the following symptoms does the nurse expect to find? (Select all that apply.)
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At the Boston Children's Hospital, a 10-year-old male child in good general health and physical condition was presented. 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, the patient had a fever of 39.3°C, 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. 1. What would be your presumptive diagnosis for this child? Why? 2. What diagnostic testing would be indicated to follow this exam? 3. What is the most likely treatment for this illness? Why is it important? 4. What factors of this case allowed you to make a presumptive diagnosis?
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LL is a 12-year-old female presenting to her pediatrician complaining of sore throat and cough. She has had some hoarseness in her voice, but no fever has been documented. Upon review, she complains of isolated throat pain, without any runny nose, sinus pressure, or headache. Her mother has been taking her temperature at home, and they have fluctuated from 97.8 F- 100.2 F. (97 F- 99 F is normal) Her mother asks for antibiotics since a neighbor's kid started like this and ended up being admitted with pneumonia. What should be the next steps?
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