: PROVISIONAL PRIMARY AND DIFFERENTIAL DIAGNOSIS 1

Running head: PROVISIONAL PRIMARY AND DIFFERENTIAL DIAGNOSIS 1

PROVISIONAL PRIMARY AND DIFFERENTIAL DIAGNOSIS 1

 

 

 

 

 

 

 

Provisional Primary and Differential Diagnosis

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Provisional Primary and Differential Diagnosis

The provisional diagnosis of the patient, Ricardo is tonsillitis. After examination, the patient was found to have a temperature of 38 degrees centigrade. Tonsillitis is often accompanied by a fever and feeling tired. Also, the patient was complaining of pains when swallowing but he does not have a cough, though he could breathe and swallow normally, there was still some pain. this diagnosis was made based on tender enlarged anterior cervical lymph nodes on the left side, and enlarged red left tonsil partially covered in white exudate and his right tonsil was also red but not very enlarged. All this accompanied by fever are some of the symptoms of tonsillitis (Ann Pietrangelo and Rachel Nall, RN, BSN, CCRN, 2019).

A differential diagnosis for the patient would be sore throat, mononucleosis, or strep throat. The diagnoses were made based on the symptoms of the patient due to the lack of medical history of the patient. The common symptoms of strep throat are a sudden fever of 38 degrees centigrade or higher, red throat with white patches, trouble and pain while swallowing, as well as swollen lymph nodes in the neck (Higuera, 2019). Mononucleosis is mostly seen in young adults like the patient, the symptoms include fatigue, swollen lymph nodes, swollen tonsils, fever, and trouble when swallowing, it is often misdiagnosed as strep throat. The symptoms found in the sore throat are difficulty and pain while swallowing, white patches or pus on the tonsils and swollen red tonsils. The patient showed these symptoms. Due to the patient not having any serious medical conditions before, he was administered with ibuprofen to reduce the pain and antibiotics to clear the infection and was also advised to gaggle with warm salty water several times a day and get lots of rest.

 

References

Ann Pietrangelo and Rachel Nall, RN, BSN, CCRN. (2019). Tonsillitis: Causes, symptoms, and diagnosis. Retrieved from https://www.healthline.com/health/tonsillitis#symptoms

Higuera, V. (2019). Strep throat: Symptoms, pictures, diagnosis, and treatment. Retrieved from https://www.healthline.com/health/strep-throat#symptoms

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