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Two days later the patient reports to the infrmary with a severe headache, stiff neck, nausea and
a temperature of 103.5 F.
What is your diagnosis at this time? (BE SPECIFIC!) A 19 yo female recruit inthe US Army was
seen in the infirmary with a 3 day history of a "sore throat'', malaise and headache of
progressing severity. On examination her throat was erythematous without the presence of
pustular or vesicular lesions. She had mild cervical lymphadenopathy and her temperature was
101F. No history of medication or other allergies was reported.
Solution
Its streptococcal pharyngitis caused by Group A Streptococci. Erythemarous rash and absence of
pustules or vesicles rules out viral infection.

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  • 1. Two days later the patient reports to the infrmary with a severe headache, stiff neck, nausea and a temperature of 103.5 F. What is your diagnosis at this time? (BE SPECIFIC!) A 19 yo female recruit inthe US Army was seen in the infirmary with a 3 day history of a "sore throat'', malaise and headache of progressing severity. On examination her throat was erythematous without the presence of pustular or vesicular lesions. She had mild cervical lymphadenopathy and her temperature was 101F. No history of medication or other allergies was reported. Solution Its streptococcal pharyngitis caused by Group A Streptococci. Erythemarous rash and absence of pustules or vesicles rules out viral infection.