Case 3
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Question 1 of 2
1. Question
An 18-year-old Polish student attends the ED complaining of a severe sore throat and inability to swallow for the past 24 hours. He is normally fit and well. After taking a history you conduct an ABC assessment and general examination. Following this, you inspect his mouth and pharynx.
Select the most likely clinical diagnosis for each of the examination findings listed below.
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- Infectious mononucleosis
- Scarlet fever
- Diphtheria
- Retropharyngeal abscess
- Quinsy
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Palatal petechiae
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Strawberry tongue
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Grey pharyngeal pseudo membrane
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Posterior pharyngeal oedema
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Unilateral peritonsillar swelling
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Question 2 of 2
2. Question
Having made a diagnosis of acute epiglottitis you contact the on-call senior otolaryngologist and anaesthetist. The anaesthetist asks you why you are concerned about the patient’s airway as most patients with epiglottitis do not need elective intubation. Which of the following features of epiglottitis are associated with a higher risk of airway obstruction?
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