SOLVED2144

A 16-year-old soccer player with no significant medical history presents with pharyngitis and fever for 2 days. The adolescent has not traveled internationally or recently begun any new medications. Two of their teammates have had similar symptoms in the past week. Vital signs are: Temperature = 101.2°F, HR = 96, RR = 14, BP 112/64. The exam is notable for exudate in the pharynx, bilateral cervical lymphadenopathy, and mild tenderness to palpation in the left upper quadrant of the abdomen without any rebound tenderness or guarding. Monospot test is negative, rapid strep test is negative, and throat culture has been negative for 24 hours. What is the next step in management? A. Restrict participation and repeat Monospot in 1 week B. Treat with empiric antibiotics for strep C. Test for CMV IgM and IgG antibodies D. Topical corticosteroids
SCIENCE
HEALTH SCIENCE
NURSING

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