I took my exam and got stuck on a sore throat case. Can someone come up with a case presentation.

What is your mental check list of the differential diagnosis? This should be the first thing you do. From the differential diagnosis, you can come up with questions to ask.

My mental check lists:

Pharyngitis
Strep throat
Yelling too much
Retropharyngeal abscess
Post nasal drip
Asthma
nasal pharyngeal cancer

What is the patient age?

She was a 19 year old white male

I also want to add that her vital signs were normal except for a fever.

Pulse: 80/min
Blood Pressure: 125/70 mm of Hg
Temperature-101.5
RR: 20/min

When is the onset of sore throat ?

What is the duration of the sore throat?

Do you have fever or chills

Did you bring up anthing with the cough? Phlegm?

Do you have joint pains

Do you have stomach pain?

Do you have pain over the sinus areas ?

Do you have nasal discharge?

Do you have swollen or enlarged neck glands ?

Did you notice your skin or eyes turned more yellowish?

Do you have rash anywhere in your body?

Do you bleed easily?

Do you have sick contact?

Do you have difficulty swallowing?

You missed the physical exam and work up

Here is the required physical exam to pass

Did you wash your hands before you touch the patient?

Did you gown the patient?

Did you try to feel for cervical lymphadenopathy?

Did you look into the mouth for pharyngeal exudates and other abnormal?

Did you auscultate the heart?

Did you auscultate the lungs?

Did you try to palpate for splenectomy and hepatomegaly? If your differential diagnoses include mononucleosis then you need to do this.

Did you try to gentle and deep palpated the abdomen?

Sounds like she has more issues than sore throat.....

GERD should also be in the differential diagnosis. G

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so the cross dressing 19yo male should also have infectious mononucleosis in the differential

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