Case 1 Review the pharyngitis scenarios and resolve the in all likelihood motive, including pathogen and mode of transmission. Talk about about facts that inspire your decision and treatment solutions. Scenario 1: Susan is a 16-300 and sixty five days-weak with surprising onset of extreme sore throat for the past day. She feels adore she had a fever however did no longer verify her temperature (i.e., subjective fever). She states it is terribly painful to swallow, and she thinks she sees white spots on her throat. She denies cough, rhinorrhea, nausea, otalgia, shortness of breath, or headache. She reports no exposure to ailing people. Medicines: none. Allergies: none. Social historical past: nonsmoker and drinks alcohol (two to three beers) one to two events a month. Bodily examination: very fundamental indicators – temperature 101.0°F; pulse 100 beats per minute; respirations 18 per minute; blood stress 110/66 mmHg. Typical: in glum health and tired look. Head, Eyes, Ears, Nostril, and Throat: unremarkable besides for erythematous oropharynx with dinky petechiae and white tonsillar exudates. Neck: anterior cervical lymphadenopathy; two on appropriate, three on left; all dinky (< 0.5 cm) and soft. Cardiovascular, Lungs, and Abdomen: unremarkable. Acknowledge the next questions or provide responses in response to this field. What's the in all likelihood diagnosis and pathogen inflicting this dysfunction and mode of transmission? Talk about about facts that supports your decision. What diagnostic test, if any, desires to be accomplished? Assemble a treatment conception for this patient. Scenario 2: Mr. Jones is a 54-300 and sixty five days-weak man with complaints of a scratchy, raw sore throat and painful swallowing, peaceful productive cough, and runny nostril for the past 2 days. He says his sputum is whitish-yellow. His ears feel elephantine, and he feels adore he's getting achy. He reports taking throat lozenges and denies nausea, fever, shortness of breath, chest anxiousness, or headache. He states he teaches in a high college and quite various his college students admire had colds. Medicines: none. Allergies: none. Social historical past: nonsmoker and would no longer drink alcohol. Bodily examination: very fundamental indicators – temperature ninety nine.0°F; pulse 84 beats per minute; respirations 18 per minute; blood stress 120/70 mmHg. Typical: cough at some point of examination. HEENT: unremarkable besides for peaceful erythematous oropharynx and not utilizing a exudates; nares with peaceful erythema and scant yellowish discharge. Neck, CV, Lungs, Abdomen: unremarkable. Acknowledge the next questions or provide responses in response to this field. What's the in all likelihood diagnosis and pathogen inflicting this dysfunction and mode of transmission? Talk about about facts that inspire your decision. What diagnostic test, if any, desires to be accomplished? Assemble a treatment conception for this patient. Review the causes, clinical manifestations, diagnosis, and treatment of pharyngitis in these two cases.
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