Module 02: Child and Adolescent Health (Assessment)
18 month old Sarah presents with a one day history of fever and is now refusing her feeds. Examination reveals a number of small, discrete mouth ulcers on the posterior pharyngeal wall, tonsillar pillars, uvula and adjacent region of the soft palate. No cervical lymphadenopathy or generalised rash was noted. Which of the following statements regarding Sarah is most likely to be TRUE?
A. This is most likely Herpangina caused by either the Coxsackie or Echovirus.
B. In view of her fever and tonsillar involvement, this is likely to be caused by the Group A Beta Haemolytic Streptococcus.
C. The most likely causative organism is the Epstein Barr Virus.
D. Antibiotics are warranted as they are likely to expedite resolution of these mouth ulcers by reducing the incidence of a secondary bacterial infection.
E. Despite the absence of a rash, this is still most likely Hand, Foot and Mouth disease.
18 month old Sarah presents with a one day history of fever and is now refusing her feeds. Examination reveals a number of small, discrete mouth ulcers on the posterior pharyngeal wall, tonsillar pillars, uvula and adjacent region of the soft palate. No cervical lymphadenopathy or generalised rash was noted. Which of the following statements regarding Sarah is most likely to be TRUE?
A. This is most likely Herpangina caused by either the Coxsackie or Echovirus.
B. In view of her fever and tonsillar involvement, this is likely to be caused by the Group A Beta Haemolytic Streptococcus.
C. The most likely causative organism is the Epstein Barr Virus.
D. Antibiotics are warranted as they are likely to expedite resolution of these mouth ulcers by reducing the incidence of a secondary bacterial infection.
E. Despite the absence of a rash, this is still most likely Hand, Foot and Mouth disease.