2016). Lily is experiencing mild sore throat, fatigue, and headache. 4. Group A B-hemolytic streptococcal pharyngitis (GABHS): Also known as step throat. Patients with GABHS infection are at risk for rheumatic fever and glomerulonephritis. GABHS is the most common bacterial acute cause of acute pharyngitis, responsible for 10% of sore throat visit in adults and 30% in children (Dains et al., 2016). Hoarseness is not typically associated, and sudden onset of sore throat is often caused by GABHS infection (Dains., 2016). Fever is almost always present with GABHS (Science et al., 2015). Transmission is primarily through saliva (Dains et al., 2016). A throat culture to detect GABHS is the gold standard of diagnosis (Dains et al., 2016). Lily has a sore throat and because she shared drinks with possibly infected people, she may have contracted the virus as strep is easily spread through saliva. She currently does not have a fever, but she could develop one over time. 5. Mononucleosis : Mononucleosis causes about 5% of sore throats and occurs most often in young adults (Dains et al., 2016). Symptoms usually reveals a gradual onset, low-grade fever, mild sore throat, posterior cervical lymphadenopathy, weight loss, and pronounced
malaise and fatigue (Dains et al., 2016). Lily shows most signs and symptoms of mono and is at the age that is most vulnerable. The fact that she was around other infected persons with the same symptoms means she could have easily contracted mono. References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Dains, J. E., Baumann, L. C., Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby. Science, M., Bitnun, A., & McIsaac, W. (2015). Identifying and treating group A streptococcal pharyngitis in children. CMAJ: Canadian Medical Association Journal, (1), 13. Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
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- Summer '15
- sore throat, Common cold, Sinusitis