12 Sore Throat Flashcards
1
Q
26yo F presents with sore throat, fever, severe fatigue, and loss of appetite for the past week. She also reports epigastric and LUQ discomfort. She has cervical lymphadenopathy and a rash. her boyfriend recently experienced similar symptoms.
A
INFECTIOUS MONONUCLEOSIS Hepatitis Viral or bacterial pharyngitis acute HIV infection secondary syphilis
CBC with peripheral blood smear monospot test throat culture AST/ALT/Bili/alkphos HIV antibody and viral load Anti-EBV antibodies VDRL/RPR
2
Q
26yo M presents with sore throat, fever, rash and weight loss. He has a history of IV drug abuse and sharing needles.
A
HIV, ACUTE RETROVIRAL SYNDROME infectious mono hepatitis viral pharyngitis streptococcal tonsillitis/scarlet fever secondary syphilis
CBC with peripheral smear HIV antibody and viral load CD4 count monospot test throat culture VDRL/RPR AST/ALT/Bili/alkphos
3
Q
46yo F presents with fever and sore throat
A
Pharyngitis (bacterial or viral)
Mycoplasma pneumonia
acute HIV infection
infectious mono
Throat swab for culture and rapid strep antigen
monospot test
cbc
serologic test (cold agglutinin titer) for mycoplasma
HIV antibody and viral load
