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Home / My courses / MRU / MSN / FNP / Advanced Practice in Primary Care / WEEK # 3 5-26-22 / CASE STUDY EXTRACREDIT

Advanced Practice in Primary Care

CASE STUDY EXTRACREDIT
Opened: Thursday, May 26, 2022, 6:00 PM
Due: Thursday, June 9, 2022, 11:59 PM

LL is a 12 year old female presenting to her pediatrician, complaining of sore throat and cough. She has had some hoarseness in her voice over the
past few days and subjective sweats but no documented fever. She has a history of seasonal allergies in the fall, and takes loratidine only during
that season. Upon review of systems, she complains of isolated throat pain, without any rhinorrhea, sinus pressure, or headache. Her mother has
been taking her temperature at home, and they have fluctuated from 97.8 F- 99.2 F.

Vitals
T 99.0 F, 37.2 C
Heart Rate 115 bpm
Respiratory Rate 18 bpm
Blood Pressure 110/76
Oxygen Saturation 100% on room air

Physical Exam
General Relatively comfortable healthy child
HEENT Pupils equally round and reactive to light and accommodation, no sinus tenderness, enlarged tonsils
Neck Supple, mildposterior cervical  lymphadenopathy
Resp Normal breath sounds

Card Regular rate and rhythm, no murmurs, rubs, or gallops

Abd Non-tender, non-distended
Ext No edema
Skin No rashes
Neuro Normal for age
LabsNa: 1344
Creatinine: 0.6
K: 4.6
WBC: 8.6
Cl: 101
Hgb: 13.6
Bicarb: 25
Hct: 40.8
BUN: 18
Platelets: 333

Based on the information provided above and the clinical guidelines for diagnosis and management for sore throat  answer the following questions

What is your primary diagnosis and how do you support it?

mention 3 differential diagnsosis

Therapeutic plan 

o o

curr
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