A 19-year-old student presents to the university health center with several days of fever, sore throat, malaise, and a rash that developed today. She…
Question Answered step-by-step A 19-year-old student presents to the university health center withseveral days of fever, sore throat, malaise, and a rash that developed today. She first started feeling ill 10 days ago with general malaise, headache, and nausea. Four days ago, she developed a temperature of 103 F (39.4 C) that has persisted. She has worsening sore throat and difficulty swallowing solid foods; she is drinking well. She denies emesis, diarrhea, or sick contacts. She takes an oral contraceptive daily and took two doses of ampicillin yesterday (left over from a prior illness). On examination, she is well developed with a diffuse morbilliform rash. She appears tired but in no distress. Her temperature is 102.2 F (39 C). She has mild supraorbital edema; bilaterally enlarged tonsils that are coated with a shaggy gray exudate; a few petechiae on the palate and uvula; bilateral posterior cervical lymphadenopathy; and a spleen that is palpable 3 cm below the costal margin. Laboratory data include a white blood cell (WBC) count of 17,000 cells/mm3 with 50% lymphocytes, 15% atypical lymphocytes and platelet count of 100,000/mm3. -What is the most likely diagnosis? -What is the best study to quickly confirm this diagnosis? -What is the best management for this condition? -What is the expected course of this condition? Health Science Science Nursing NUR511 511 Share QuestionEmailCopy link Comments (0)


