Happy Monday to you! Heres your Mondays Challenger: A 15-year-old male presents to the nurse practitioner. He is accompanied by his mother. History reveals that he began with a mild sore throat about 3 days ago and a low grade fever the lasted 2 days. His mother stated that his breath is “horrid” even after using mouthwash. He resides with his 10 year old brother and parents. No one in the family is ill or experiencing similar symptoms. He attends a co-ed high school and has been dating his current girlfriend for 2 months. To his knowledge, his girlfriend is not complaining of a sore throat. He has no known drug or food allergies. Examination: weight 158 pounds, height 69 inches, B/P 118/70, pulse 58, and temperature 102.5 °F; Eyes with somewhat of a mildly red conjunctiva; Clear nasal discharge; bilateral tonsillar exudate, erythematous throat, white coating noted over tongue, and few palatal petechiae; tender, mobile, posterior cervical lymph nodes; Chest clear to auscultation; heart rate regular; abdomen soft and mild hepatosplenomegaly noted; The remainder of the exam was normal. What symptoms make Streptococcus infection unlikely? Indicate all choices. A. Presence of cough B. Fever C. Tender posterior cervical nodes D. Nasal discharge E. Tonsillar exudate F. Absence of cough G. Palatal petechiae
Posted on: Mon, 04 Aug 2014 17:27:10 +0000
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