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Little Grape

UnFiNiShEd CaSe CoMe BaCk LaTeR

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History of Present Illness:

A 22-year-old male presents to the ED for a lump in his throat.  He has a history of seasonal allergies and is having some of those symptoms but has never had the lump feeling.  He denies any fever, pain or other complaints.

Vital Signs & Physical Exam:

Vital signs are normal.  Physical exam is otherwise normal except for the OP exam.  See image below

Initial Differential Diagnosis:

  • Allergy
  • Burn
  • Infection

QUESTIONS:

  1. What does the case image show?  
  2. What should you do next?  
  3. Want a 1-minute consult/tutorial on this case? 
  4. Want to know what happened with this patient?

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ANSWERS:

  1. What does the case image show?  The image shows uvulitis (uvula means little grape).
  2. What should you do next?  Everything points to this being allergic so treat with antihistamines and possibly Flonase or other nasal steroid and/or prednisone
  3. Want a 1-minute consult/tutorial on this case?  See yellow area from sample page below.
  4. Want to know what happened with this patient?  See case conclusion below tutorial page.

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

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CASE CONCLUSION: Did well

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