Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of sore throat, odynophagia, and fever. Denies cough, rhinorrhea, or conjunctivitis. Reports associated headache, nausea, and abdominal pain. No history of recent sick contacts or known exposure to Group A Streptococcus.
Clinical Examination Findings
Vitals: Febrile. HEENT: Pharyngeal erythema, tonsillar hypertrophy with exudates, tender anterior cervical lymphadenopathy. Palatal petechiae present. No hepatosplenomegaly. Lungs clear to auscultation. Skin: No scarlatiniform rash noted.
Treatment Protocol
Rapid Strep Antigen Test (RSAT) positive. Initiating antibiotic therapy: Amoxicillin 50mg/kg/day once daily for 10 days. Supportive care: Acetaminophen/Ibuprofen for fever and pain management. Increase fluid intake and rest.