1. A Sore Throat
Your patient is a 5-year-old boy who awoke on the day prior to evaluation with a sore throat and fever. His mother had him stay home from kindergarten and treated him symptomatically with Tylenol. He slept well but the next day awoke still complaining of sore throat and fever, as well as headache and abdominal pain. He was an only child and neither parent was ill.

3. On physical examination, he has a fever of 38.4ºC.
His anterior cervical lymph nodes at the angle of the mandible were slightly enlarged and tender.
No skin lesions or rashes were seen.
What is a normal temperature?
How bad is the pain?
Name two causes for the patients sore throat?
List the patients signs and symptoms in two columns.
What do you do next?

5. On physical examination, he has a fever of 38.4ºC.
His anterior cervical lymph nodes at the angle of the mandible were slightly enlarged and tender.
No skin lesions or rashes were seen.
What is a normal temperature?
How bad is the pain?
Name three causes for the patients sore throat?
List the patients signs and symptoms in two columns.
What do you do next?

7. On physical examination, he has a fever of 38.4ºC.
His anterior cervical lymph nodes at the angle of the mandible were slightly enlarged and tender.
No skin lesions or rashes were seen.
What is a normal temperature?
How bad is the pain?
Name three causes for the patients sore throat?
List the patients signs and symptoms in two columns.
What do you do next?

8. On physical examination, he has a fever of 38.4ºC.
His anterior cervical lymph nodes at the angle of the mandible were slightly enlarged and tender.
No skin lesions or rashes were seen.
What is a normal temperature?
How bad is the pain?
List the patients signs and symptoms in two columns.
Name three causes for the patients sore throat?
What do you do next?

9. What kind of bacteria do you see?

10. Which bacterium do you suspect is the cause of the sore throat?

14. Scarlet fever