On Tue, Feb 23, 2010 at 3:54 PM, Julian Bradley
<[log in to unmask]> wrote:
> Based (loosely) on an actual case (with patient consent), where I am not the
> GP.
> couple of weeks
> some sore throat / neck pain and discomfort with swallowing.
> Tachycardia 115 at rest - and some suggestion this may have persisted
> through illness
> Low grade fever confirmed
>
One of those tricky ones not fitting a common/clear pattern.....easy
to say 'I dunno, but likely ok' - let's face it we see loads of odd
headaches, sore throats, malaise.
But there are clues to that fact that she may be 'big sick' (as
opposed to 'little sick')
> couple of weeks
> some sore throat / neck pain and discomfort with swallowing.
> Tachycardia 115 at rest - and some suggestion this may have persisted
> through illness
> Low grade fever confirmed
>
.......I highly commend the notion of big vs little sick by the
way.....useful in teaching, we use it in the wilderness medicine
programs.
Initial guess is perhaps something like Lemierre's syndrome /
peri-tonsillar cellulitis or similar. Other thoughts - mediastinitis?
Jel
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