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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 pati... ent 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 [Show More]
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