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8 Cards in this Set

  • Front
  • Back
Key History -
Duration
fever
other ENT Sxs -
ear pain
URI
odynophagia
swollen glands
cough
rash
sick contacts
HIV risk factors
Key PE -
VS
ENT exam, include -
oral thrush
tonsillar exudate
lymphadenopathy

lung
abdomen
skin
26 y/o F
with sore throat, fever, severe fatigue and loss of appetite for the past week.
She also reports epigastric and LUQ discomfort.
She has cervical lymphadeno-pathy and a rash.
Her boyfriend recently had similar symptoms.

What is Differential?
Infectious mononucleosis
hepatitis
viral or bacterial pharyngitis
acute HIV infection
secondary syphilis
26 y/o F
with sore throat, fever, severe fatigue and loss of appetite for the past week.
She also reports epigastric and LUQ discomfort.
She has cervical lymphadeno-pathy and a rash.
Her boyfriend recently had similar symptoms.

What is Workup?
CBC, peripheral smear
monospot test
throat culture
AST/ALT/bilirubin/alk phos
HIV antibody and viral load
anti-EBV antibodies
VDRL/RPR
26 y/o M
presents with sore throat, fever, rash and weight loss.
He has a h/o IV drug abuse and sharing needles.

What is Differential?
HIV, acute retroviral syndrome
infectious mononucleosis
hepatitis
viral pharyngitis
strep tonsillitis/
scarlet fever
secondary syphilis
26 y/o M
presents with sore throat, fever, rash and weight loss.
He has a h/o IV drug abuse and sharing needles.

What is Workup?
CBC
peripheral smear
HIV antibody and viral load
CD4 count
monospot test
throat culture
VDRL/RPR
AST/ALT/bilirubin/alk phos
26 y/o F
presents with fever
and sore throat.

What is Differential?
Pharyngitis
(bacterial or viral)
mycoplasma pneumonia
acute HIV infection
infectious mononucleosis
26 y/o F
presents with fever
and sore throat.

What is Workup?
Throat swab for culture and
rapid streptococcal antigen
monospot test
CBC
HIV antibody and viral load