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Throught pain
Presently her position is safe or not the tb bacteria was spread her body or not
Pharyngitis, sore throat / Tonsillitis
SX â enlarged tonsils, tonsillar exudates, cervical adenopathy, fever, rash
PE â oral cavity, tonsils
Next Steps
DX â ⢠CBC (inc WBC) Throat Cx (positive for strep, influenza) Rapid strep, mono spot for EBV
Health Tips
TX â Penicillin V 500 mg PO BID x 10 days (Penicillin G 800,000 units PO BID x 10 days). For children < 27 kg, give 250mg) IM Penicillin G 1.2 million units x 1. For children < 27kg, give IM Penicillin G 600,000 units x 1. If allergic: amoxicillin. Secondary options include: azithromycin, calrithromycin, erythromycin, cephalexin ⢠Acetaminophen (fever, pain): 325-1000 mg PO q4-6 hours PRN, maximum 4000 mg/day ⢠Ibuprofen : 200-400 mg PO q6-8 hours PRN, maximum 2400 mg/day Alternate Acetaminophen and Ibuprofen Q3 hours ⢠Chloraseptic spray
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