I've had a few interesting cases recently, lets see what others think...............
48 y/o black male presents with a sore throat x 3 days. Pt. tells you he was evaluated the day before and diagnosed with acute pharyngitis. Pt. was given Claritin and Cepacol the day before. Today he advises it feels like he is choking when he lies down and his sore throat has worsened.
Pt. is A&O x4, skin is warm, pink, and dry. Pt. is unable to open his mouth sufficiently to completely visualize the oropharynx. You do however notice severe edema to both tonsils which partially obstruct the uvulla.
Vitals are: B/P 140/96
P 100
R 24
T 100.6
BGL 93mg/dl
SPO2 99%
What do you think? What else would you assess? How would you treat?
Enjoy......................
48 y/o black male presents with a sore throat x 3 days. Pt. tells you he was evaluated the day before and diagnosed with acute pharyngitis. Pt. was given Claritin and Cepacol the day before. Today he advises it feels like he is choking when he lies down and his sore throat has worsened.
Pt. is A&O x4, skin is warm, pink, and dry. Pt. is unable to open his mouth sufficiently to completely visualize the oropharynx. You do however notice severe edema to both tonsils which partially obstruct the uvulla.
Vitals are: B/P 140/96
P 100
R 24
T 100.6
BGL 93mg/dl
SPO2 99%
What do you think? What else would you assess? How would you treat?
Enjoy......................