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Running head: i-Human Patient: Amanda Wheaton- Reflection
Summary of what the article was trying to validate.
According to the American Family Physician, diagnosis and treatment of streptococcal
pharyngitis is diag
...
2
Running head: i-Human Patient: Amanda Wheaton- Reflection
Summary of what the article was trying to validate.
According to the American Family Physician, diagnosis and treatment of streptococcal
pharyngitis is diagnosed in 11 million patients in the U.S. annually (Choby, 2009). Diagnosing of
streptococcal pharyngitis based on clinical findings can be difficult therefore a detailed history,
physical and use of the clinical decision rule for management of a sore throat are key to an
accurate diagnosis. “No single element of the patient’s history or physical examination reliably
confirms or excludes GABHS pharyngitis” (Choby, 2009, p. 384). However, positive symptoms
of a sore throat, fever, sudden onset temperature, exposure to streptococcus infection, cervical
node lymphadenopathy, pharyngeal or tonsillar inflammation and exudate are the most common
signs of bacterial pharyngitis (Choby, 2009). Viral pharyngitis most accurately includes a cough,
coryza, conjunctivitis and diarrhea (Choby, 2009). According to the IDSA, clinical practice
guidelines for diagnosing and management of Group A Streptococcal Pharyngitis identification is
made of the key recommendations of using Centor Score results in determination of diagnostic
testing and further management with antibiotics (Choby, 2009).
Rationale for the questions you asked during the history examination.
The questions asked during the patient encounter included pain noting location,
characteristics and laterality indicating whether or not the patient has a possible abscess
formation or bacterial infection. The rationale for identifying any abscess or sign of exudate
could be suggestive of risk factors for sexually transmitted infections, HIV, mononucleosis or
influenza. Questions pertaining to obtaining the patients medication list, history and current
vaccination status is important in determining a correlation with the patient’s clinical symptoms
and medications. Questions related to the patient’s history of recent exposure to streptococcal
infections identify the patients risk factors and susceptibility. Lastly, questions related to smoking
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