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A case study of a 23-year-old woman who presents with acute pharyngitis, fever, headache, and tender cervical lymphadenopathy. The case study includes the history, physical exam, key findings, problem statement, body system list, differential diagnosis, tests, and management plan for group a streptococcus (gas) pharyngitis. The document also includes additional exercises related to nosebleeds, eye pain, bacterial strep pharyngitis, eye exams, and meniere’s disease.
Typology: Exams
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I Human. Rebecca Fields History: 23 questions required by expert. Physical Exam: 15 required Vital signs, SPo2, Spco, Etco2, Mental status Skin, inspect skin overall HEENT: inspect mouth, pharynx, look in ears with otoscope, inspect eyes, look up nostrils Neck: palpate neck, evaluate range of motion Lymphatic: palpate all lymph nodes Chest wall and lungs: auscultate lungs Abdomen: palpate abdomen
Key findings : Sore throat ---- MSAP Fever ------------ related Headache ------ related Pharyngeal erythema and exudate- related Tender cervical lymphadenopathy – related Oral contraceptive use- unrelated Family history of hypertension – unknown Infectious contact per history- unknown Infectious mono at 150 resolved Problem statement: Expert: This 23 - year-old woman presents with acute pharyngitis associated with fever, headache and tender cervical lymphadenopathy. She has no significant medical history. Physical exam is notable for temperature elevation (101.5), posterior pharyngeal erythema, mild to moderate tonsillar enlargement, prominent tonsillar exudate, and tender bilateral lymphadenopathy. Body system list : respiratory Differential Dx: Influenza, group A strep throat, pharyngitis (N. gonorrhea), Pharyngitis (group C and G streptococci, peritonsillar abscess Tests: rapid strep antigen test, throat culture, influenza swab Management Plan: Tx choice for GAS pharyngitis: amoxicillin or PCN X 10 days. Analgesics and NSAIDS
Exses: 1. The most common site of nosebleed is…