Which of the following abnormal finding are indicative of acute pharnygitis Warm to touch Positive pharyngeal exudate 2-3 positive tonsillar pillar Positive strawberry tongue WBC:14800 Rapid Strep: Positive
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- Warm to touch: This could indicate inflammation or infection, which is common in acute pharyngitis. - Positive pharyngeal exudate: Presence of exudate (pus or fluid) on the pharynx is a typical sign of infection, often seen in acute pharyngitis. - 2-3 positive Show more…
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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?
Adi S.
Kelan H.
CASE STUDY M-1: A mother brings her 10-year-old daughter to the clinic. The child is complaining of a sore throat and has a low-grade fever (99.6°F). The mother states that the child has had a runny nose and a cough for the last few days. On examination, the physician notes that the child's pharynx appears red and that her tonsils are slightly swollen; no exudate is noted. Blood is drawn for a complete blood count (CBC), and a rapid strep test is sent to the microbiology laboratory. Laboratory data follows: Hemoglobin: Normal, White blood count: Slightly elevated, Rapid strep test: Negative, Confirmation culture: Negative for group A β-hemolytic streptococci. Critical Thinking Questions: 1. What are the clinically relevant signs and symptoms in the case history? 2. What are the clinically relevant laboratory findings to support this diagnosis?
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