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Respiratory system infection in elementary school kids (18 points)
1. Do you expect this patient to have swollen lymph nodes? (1 point)
2. What types of adaptive immune cells would be found in lymph nodes? Select all that apply (1 point)
3. Do you think his throat is inflamed? (1 point)
...
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Respiratory system infection in elementary school kids (18 points)
John- a ten-year-old comes home just before thanksgiving break from school feeling tired and
complaining of his throat hurting. There have been several cases of respiratory infection going around his
elementary school and his mom suspects John may have gotten one too. At night John’s condition
worsens- he has fever of about 101◦F and complains of his throat hurting upon swallowing. With holiday
travel plans, John’s mom decides to take him to ER next morning. By this time, he is complaining of
headache and is not able to eat any solid foods.
Upon arrival at the healthcare facility, the nurse records John’s vital signs and asks his mom to describe
his health history. By this time John’s face is red and he describes his throat pain on a scale of 1-10 as an
8. The nurse first examines his oral cavity and the lymph nodes around the neck. The nodes are
swollen and painful during examination.
1. Do you expect this patient to have swollen lymph nodes? (1 point)
Yes, the patient is experiencing significant symptoms of swollen lymph nodes including fever,
dysphagia, and headache.
2. What types of adaptive immune cells would be found in lymph nodes? Select all that
apply (1 point)
a. NK cells
b. Dendritic cells
c. B-cells
d. T-cells
, John also has bad breath (although he brushed his teeth before coming to the clinic). His oral cavity is
red and swollen, and he has pus pockets on his tonsils. John experiences pain upon swallowing.
3. Do you think his throat is inflamed? (1 point)
During the medical examination, John experienced very severe throat pain and swelling in
the lymph nodes. Furthermore, he also endures pain while swallowing. These findings would
conclude that his throat is inflamed.
Rapid Strep test (RST) is used to diagnose pharyngitis infection caused by “Group A Streptococci”
(GAS). The kits contains strips with antibiotics specifically against the proteins found on GAS. A
positive result will show two bands on the strip, and a negative result will show only one band.
However, this test is not always conclusive.
https://kk.org/cooltools/home-strep-test-1/
The nurse takes two swabs cultures of throat- with first she performs rapid Strep test, which shows
two bands.
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