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Author: Nauman Arshad / Editor: Fiona Mendes / Codes: EC11, EC13, EC2, EP6, IP1, IP3, RP6, SLO1, SLO2, SLO3Published: 20/03/2024

A 36-year-old male presents to your Emergency Department (ED) with a 5-day history of sore throat, having fever with rigors, nausea with right ear pain.

Vital Signs:

  • Oxygen saturations 96 % in room air
  • Respiratory Rate: 24 breaths/minute
  • Pulse: 115 beats/minute
  • Blood Pressure: 100/60 mmHg
  • Temperature: 38.2 degrees Celsius

Examination of his throat reveals bilateral tonsillar enlargement which is more marked on the right side.  The uvula is deviated to the left side. He appears clinically dry and has palpable bilateral cervical lymphadenopathy.

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