Lim
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A 45-year-old asian male presents with complaints of pregressively worsening sore throat and difficulty swallowing since the past 24 hours. You notice that his voice is muffed and he has saliva drooling from hi mouth. He also has harsh shrill creaking noise associated with respiration. On examination, few cervical lymph nodes are palpable with tenderness on palpation over laryns. His vital signs are : PR is 106/min BP is 120/80 mmHg Pr is 22/min and Temp is 39.3C903F) Which of the following organisms are the most common cause if this conditons?
A H.I and GABS(Group A streptococcus)
B.Mycobacterium and HSV
C HI and candida
D GABS and klebsiella
E GABS and S aureus
fever and laryngeal tenderness is keys for making dx?
in question he/she doesn't look into his mouth...
usually in a question they look into pt's mouth and tell something?
(in this q, if they give PE of mouth, answer could be easier, so they omit it?)
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| cool doctor
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A?
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| darkhorse
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peritonsillar absces...usually its a mixture of GABS and fusobacterium....in the options given i will go for GABS and staph......hot potato voice is typical
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| Lim
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it's A. dx is epiglottitis
S aures also cause epiglotittis but less than two(answer a)
darkhorse they don't tell about PE inside mouth that's a reason. it's acute and creaking noise from narrowed larynx. hmm..
why they just jumpe to epiglotittis just because laryngeal tenderness?
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| dr19
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keys:
-voice is muffed
-drooling
-stridor
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| darkhorse
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hmmmmmmmmmm....why this is not quinsy ...i though tepigottitis is not a common diagnosis in adults
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