 |  fever & lymphadenopathy
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| Author | 7 Posts |
exam
Forum Junior
Topics: 21
Posts: 39
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A man visiting from Indonesia presenting with for fever & sore throat for last 3 days. On examination there was lymphadenopathy, but no splenomegali, lymphophenia, & monospot test was negative. Which of the following you will do?
a) EBV serology
b) Blood culture
c) HIV test
d) Throat swab culture
e) Give him penicillin
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| Renegade
Forum Elite
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Posts: 171
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That's too inespecific. Probably a.
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| DrS
Forum Elite
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D?
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| Doc2378
Forum Guru
Topics: 46
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definitely not A...Monospot negative...no splenomegaly...I'd start with a throat swab and follow it up with a blood culture....so I'd go with D.
Anyways you'd have to wait till either throat swab and or blood culture comes in before starting Penicillin.
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| Dot
Forum Senior
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Posts: 168
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I would suspect HIV.Why throat culture any one can xplain this
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| DrS
Forum Elite
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Going from above clinical scenario the most likely diagnosis is a simple viral sore throat. I dont think there's any reason to suspect HIV infection from the limited information given. However the only thing that would influence management is a throat swab (i.e if it is streptococcal it would indicate the need for peniciliin)
Ordering HIV tests for a patient with fever and sore throat for 3 days without any other indication of HIV infection seems to be a bit irrational. Anyway I feel this is a poor quality question with probably inaedquate information.
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| phuluong2k
Forum Fanatic
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Exam, do you have the answer ?
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