Solved by a verified expert:Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jenniferhas been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthyand has no significant medical history. She was in her usual state of good health until 3 days agowhen she started to get fussy, would not eat her breakfast, and would not sit still for her favoritetelevision cartoon. Since then she has had a fever off and on, anywhere between 101oF andtoday’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to103.2oF today, she felt that she should come in for evaluation. A physical examination reveals aheight and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot anddry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal inappearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervicalnodes are readily palpable and clearly tender to touch on the left side. The child indicates that herthroat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulseof 128 beats per minute, and a respiratory rate of 24 beats per minute.
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