Running Head: i-Human Patients®, Amanda Wheaton: Reflection
According to Shulman ST, et al., 2012, sore throats are a common condition seen in
clinical practice. The primary goal when seeing a patient with acute sore t
...
Running Head: i-Human Patients®, Amanda Wheaton: Reflection
According to Shulman ST, et al., 2012, sore throats are a common condition seen in
clinical practice. The primary goal when seeing a patient with acute sore throat is to identify
and treat patients with GABHS pharyngitis to prevent complications of acute rheumatic
fever, and acute glomerulonephritis. Group A beta-hemolytic streptococcus is the most
common cause of acute bacterial pharyngitis, accounting for 5–15% of sore throats in adults.
Approximately 30% of cases of pharyngitis have no identifiable cause.
Provide a rationale for the questions you asked during the history examination.
Asking the question of if the pain is unilateral indicates whether the problems is abscess
formation or fusobacterium infection. If the patient reports any sign of exudate then that
could be suggestive of risk factors for sexually transmitted infections, HIV, influenza or
mononucleosis. Completing a detailed medication history is important to determine a
possible relationship between medication use and clinical symptoms. A history of frequent or
severe colds or excessive illness may be symptomatic of an underlying pathology. Clarifying
if there is any chest pain present with or painful breathing may indicate an injury instead of
disease. Determining if the patient smokes or if any second-hand smoke may increase the
frequency and duration of respiratory infections (Jarvis, C., 2012).
Provide a rationale for the physical exam that was conducted on the patient.
A systematic physical assessment remains one of the most vital components of
patient care. Identification of trends in vital signs can be crucial to identifying potential
problems. Upon examination of the throat with strep should reveal edema and erythema of
the posterior pharynx and tonsils are often covered with gray-white exudates. The anterior
cervical lymph nodes are tender. They do not typically have rhinorrhea, cough, or
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