microbio question?At Children's Hospital( CHOP) the ER and Clinics are always busy. A 5-year old white male child in good general health and physical condition was presented at the Saturday walk-in clinic by his mother. He was brought in because he had a fever, was cranky and had complained of a sore throat for about 24 hours. On physical examination by the attending resident, the patient had a fever of 39 o C. He had considerable swelling and drainage of the pharynx and in the conjunctivae. His tonsils were enlarged and coated with a white patchy exudate. He had a red throat and swollen anterior cervical lymph nodes. His ears were clear. His chest sounded clear and he had no additional remarkable findings on routine examination. A rapid Strep test run ASAP by the lab was positive. Bacteria grown from a throat swab taken at the time of examination indicated gram positive Beta hemolytic bacteria.
These are the questions:
1.What would be your presumptive diagnosis for this child? Why?
2.What diagnostic testing would be indicated to follow this exam?
4.What factors of this case allowed you to make a presumptive diagnosis?
Isn't question 1 and 4 the same answer? and is question 2 the strep throat test?
hoonosewot
Firstly i think 1 and 4 are largely the same question. It would definately be worthwhile asking whoever set you this work how you are meant to differentiate the answers, if at all.
1. It looks like strep throat, a grp A strep infection of the upper respiratory tract. The fever and sore throat are basic symptoms, as are to an extent the enlarged tonsils. The white exudate and the cervical lymphadenopathy however are classic strep throat symptoms. The fact that its not in the chest and ears also rules out many other potential infections.
Grp A strep is also gram positive and beta haemolytic like the culture.
What do you think? Answer below! Tonsillitis explained | Better Health Channel
Links to information about tonsillitis , including tonsillectomy.
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