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1. Provisional primary and differential diagnoses
Provisional primary and differential diagnosesProvisional primary and differential
diagnosesMale 20 y/o Self employee landscaping Marihuana ocassional user. Heterosexual
choices with no regular single partner. He loves parties and Practice Soccer
regularly.Ricardo does not speak English so he comes to see you with his sister. She says
that he has a very sore throat and feels very tired. On closer questioning, you find out that
the sore throat started approximately 24 hours ago. He has pain on swallowing, and he does
not have a cough. He has not taken any tablets for pain. On examination, Ricardo’s
temperature is 38 degrees centigrade and he has tender enlarged anterior cervical lymph
nodes on the left side. He has an enlarged red left tonsil partially covered in white exudate.
The right tonsil is also red but not so enlarged. He is breathing and swallowing normally
throughout the consultation.You do not have any access to Ricardo’s past medical history as
he has just registered with your practice and he previously lived in Brazil. Ricardo’s sister
says that Ricardo has not had serious medical conditions before and has never been allergic
to antibiotics.What are the provisional primary and differential diagnoses?ORDER NOW
FOR ORIGINAL, PLAGIARISM-FREE PAPERSThe following are the peers answers:PEER
1Ricardo is a 20-year-old male who comes to the clinic complaining of “a very sore throat
and feels very tired”. On assessment I discover patient has had the sore throat for 24 hours
with pain on swallowing. Patient has been having fevers of 100.4F/ 38C. Patient has tender
enlarged anterior cervical lymph nodes on the left side. His left tonsil is enlarged and
partially covered in white exudate. The right tonsil however is red not enlarged. His
respiration and swallowing are within normal limits. Provisional primary and differential
diagnosesPrimary DiagnosisTonsillitis– Tonsillitis is generally the result of an infection,
which may be viral or bacterial. Viral etiologies are the most common. The most common
viral causes are usually those that cause the common cold, including rhinovirus, respiratory
syncytial virus, adenovirus, and coronavirus. These typically have low virulence and rarely
lead to complications. Other viral causes such as Epstein-Barr (causing mononucleosis),
cytomegalovirus, hepatitis A, rubella, and HIV may also cause tonsilitis. (Georgala CC,Tolley
NS, Narula PA,2014)Differential DiagnosisStreptococcus Pharyngitis- infection with
Streptococcus pyogenes. Symptom onset in streptococcal infection is usually abrupt and
includes intense sore throat, fever, chills, malaise, headache, tender enlarged anterior
cervical lymph nodes, and pharyngeal or tonsillar exudate. (Ebell, Smith, Barry, Ives, &
Carey, 2000; Shaikh, Leonard, & Martin, 2010).Viral Pharyngitis-Pharyngitis is an
inflammation of the pharynx resulting in a sore throat. Pharyngitis is a symptom rather than

2. a condition. Most often it is caused by viral infections like the common cold and flu.
(Pharyngitis, n.d.)PEER 2Base on to the descriptions in the case study, Mr. Ortego is a 20
years old heterosexual male with no regular single partner. According to his sister, who
interpret for him, he used to live in Brazil, does not speak English, has no past serious
medical history and is not allergic to any Antibiotics. He recently came to the clinic
complaining of sore throat for the last 24hours. He represent with signs and symptoms of
pain when swallowing, no cough, a temperature of 38 degrees Celsius (100.4 degrees),
tender and enlarged anterior cervical lymph nodes on the left side, and his left tonsil is red,
enlarged and partially covered with exudate, the right tonsil is red but not enlarged, and no
difficulty breathing. Provisional primary and differential diagnosesPrimary
Diagnosis:Tonsillitis: Mr. Ortego present with signs and symptoms that includes left red
swollen tonsil enlarged and partially covered with exudate, sore throat, painful swallowing,
fever, and tender and enlarged anterior cervical lymph nodes (Mayo Clinic
2018).Deferential Diagnosis:1. Acute Streptococcal Pharyngitis: Due to the patient’s
complaints of sore throat for the last 24hrs, and along with fever and swollen lymph nodes
and no cough provide reason for this differential diagnosis (Center for Disease control and
Prevention 2018).2. Mononucleosis: Mr. Ortego is heterosexual male with no regular single
partner, he presents with sore throat, fever, swollen glands, exudate on the tonsil. Infectious
mononucleosis is transmitted by exposure to saliva, so it can be spread by kissing, it is
usually caused by the Epstein-Barr virus. It most often affects children, teenagers, and
young adults (Ebell 2016).Whether you agree or disagree explain why with ing evidence
and concepts from the readings or a related experience. Include a reference, link, or citation
when appropriate. APA 6th edition format for references as well as in-text citations is
expected, but are not mandatory.THINK ABOUT UNILATERAL TONSILITISProvisional
primary and differential diagnoses