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Student name University NSG 5003 Professor Name Submission Date Case Studies Pharyngitis is a clinical phenomenon that is familiar on its own, and that must be thoroughly investigated to rule out the chances of bacterial and viral etiologies. The case under consideration is of a teenage patient with the symptoms of acute sore throat aiming to define the most probable etiology, the clinical facts that prove the case, the diagnostic tests that occurred and the treatment that should be implemented, and evidence-based treatment. Case: 1 Scenario: 1 Most Likely Diagnosis, Pathogen, and Mode of Transmission Acute streptococcus pharyngitis is likely to be the diagnosis of Susan as it is caused by Group A beta-hemolytic Streptococcus (Streptococcus pyogenes). This bacterial infection is often carried by adolescents, and the typical symptoms of the infection include an acute rapid development of a sore throat, fever, tonsillar exudates, and tender anterior cervical lymphedopathy (Atiyah et al., 2025). The most common way of contracting an infection by close contact with an infected person is the respiratory droplet whereby he/she can sneeze, cough and even share food. Even though Susan refuses to admit she had any contact with sick people, she could have been exposed to the organism by way of asymptomatic carriers, so she may not necessarily have a history of contact. Clinical Data Supporting the Diagnosis A number of clinical researches are favoring strep throat infection over the viral throat infection by a very large margin. The fact that Susan suddenly developed the symptoms at an unexpected time, a fever of 101F, no cough or showers, and white tonsillar exudates are typical of Group A streptococcal infection. Besides this, the examination also reveals that, anterior cervical, lymphadenopathy, tenderness and palatal petechiae are among other tests making this diagnosis. Viral pharyngitis is likely to introduce cough, nasal congestion/ conjunctivitis, of which Susan especially refutes (Shojaei et al., 2025). The results also coincide with the criteria that are commonly used in the Center to evaluate the possibility of streptococcal pharyngitis and decide on the diagnostic tests and treatment. Recommended Diagnostic Testing Rapid antigen detection test (RAST) of Group A Streptococcus shall be conducted in order to have a confirmation of the diagnosis. RADT is fast with a high selectivity rate. A throat test is recommended in adolescents to order a throat culture in case of RADT tests negative because they are vulnerable to complications, including acute rheumatic fever (Jaaskelainen et al., 2024). Diagnostic confirmation will assist in preventing unjustified administration of antibiotics and will be useful in treating the patients. Treatment Plan and Management Provided that the test result of RADT or throat culture proved Group A streptococcal pharyngitis, the first treatment of 10 days with penicillin V or amoxicillin will be prescribed because the patient is not allergic to any medication. Susan should not be exposed to any other person until she is given sufficient antibiotics at least 24 helps and when the symptoms start improving. Scenario: 2 Most Likely Diagnosis, Pathogen, and Mode of Transmission The most common ways of infection are respiratory droplets and direct contact with the infected surfaces. Among adults, viral pharyngitis is rather prevalent, and it can be detected by the symptoms of the upper respiratory tract and sore throat. Clinical Data Supporting the Diagnosis Viral etiology is eloquently expressed in clinical manifestation of Mr. Jones. His symptoms are characterized by sore throat that is scratchy and sore, nasal congestion, middle product cough, ear fullness, and general pains in the body, which are characteristic of viral-induced upper respiratory infection. Lack of a fever, acute tonsillar throat exudates, or tenderness of the anterior cervical lymph nodes is another sign that is contrary to streptococcal pharyngitis (Jaaskelainen et al., 2024). Physical examination reveals unimportant oropharyngeal erythema with no exudates and nasal discharge, which are typical of viral infection. In addition, his low grade temperature of 99 degF and a history of cold exposure in students in the past are all pointers of a viral etiology and not bacterial infection. Recommended Diagnostic Testing There is no need of diagnostic testing in the case. The clinical guidelines suggest that regular testing should not be done to prevent the occurrence of Group A Streptococcus in cases where there is high likelihood of viral infection evidenced by cough, rhinorrhea and nasal congestion. Treatment Plan and Management Viral pharyngitis is treated in a support way and is aimed at treating the symptoms. Mr. Some of the things that should be recommended to Jones include throat lozenges, proper fluid consumption, and rest. The body pain such as the throat pain can be treated by the use of painkillers such as acetaminophen or ibuprofen. Saline and warm fluid nasal sprays can be used in the event of nasal congestion and throat irritation (Wi & Choi, 2021). The use of antibiotics should not be recommended as it is not helpful in viral infections, in addition to the development of antimicrobial resistance. The patient education will involve the data of self-limiting character of the disease and the instruction to get medical help in case of the symptoms being continued or increased during more than 710 days. Comparison of Pharyngitis in Both Cases The differences between these two cases are the etiology and treatment. Case 1: Susan has exhibited the symptoms of bacterial pharyngitis of Group A Streptococcus with the presentation of fever, tonsillar exudates, tender lymphadenopathy in cervicogenital regions, and the lack of cough as the symptoms of the necessity to receive diagnostic procedures and antibiotic therapy. Mr. Jones however has a viral disease that is characterized by coughing, rhinorrhea, and mild throat irritation, no fever or exudates and only needs supportive care. The difference between viral and bacterial pharyngeitis is one of the issues that must be performed accurately because it will enable to give a person the proper treatment, minimize the risks of complications, and avoid active administration of antibiotics. Case: 3 Most Likely Diagnosis, Pathogen, and Mode of Transmission Bronchiolitis is a very serious illness that usually
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