Spots on Throat

UnFiNiShEd CaSe CoMe BaCk LaTeR

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History of Present Illness:

A woman in her 20’s presents to the ED for 2 days of sore throat and fever up to 102.9.  She denies any cough, SOB or other complaints.

Vital Signs & Physical Exam:

Vital signs are normal.   Physical exam is otherwise normal except for a slightly dysphonic voice and inspection.  The following finding is seen

What is the most likely diagnosis:

• A) Mono
• B) Strep throat
• C) Oral gonorrhea
• D) Thrombocytopenia

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DIAGNOSIS, 1-MINUTE CONSULT and CASE CONCLUSION:

The diagnosis is:

• B) Strep throat

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CASE CONCLUSION: We’ll just have to see

CASE LESSONS: