Posted: September 8th, 2023

History of Present Illness: A 10-year-old female presents with her mother

INSTRUCTIONS

Streptococcal pharyngitis child SOAP note- 10 years old child

Requirement:
• APA format
• Intext citation
• References minimun 4 high-level scholarly reference per post within the last 5 years in APA format.
• EACH DIFFERENTIAL DIAGNOSTICS, PLAN AND EDUCATIONS gets 3 IN TEXT CITATIONS WITH REFERENCES
• Plagiarism free.
• Turnitin receipt.
Note : I provided the 3 differential diagnostics

SOAP notes for teenager 10 year old child
ID: Patient’s initials Age: 10 years, female
Ethnicity: DOB: . The CHILD came to the facility with her mother.
The mother is a good reliable history and answered all the questions.
SUBJECTIVE:
CC: “My throat hurt.”
History of Present Illness (HPI):

.ASSESSMENT ( please add 3 in text citations with References and rationales).
1-. Streptococcal pharyngitis REFERENCE NEED HERE with Rationales.
2- Peritonsillar abscess REFERENCE NEED HERE with Rationales.
3- Mononucleosis REFERENCE NEED HERE with Rationales.
PLAN (3 in text citations with references)
1-
2-
3-

Medications: dose is need it if prescribed medication With REFERENCES PLEASE

Patient EDUCATION ( Three (#3) in text CITATION with references )
1-
2-
3-

Referral:

Follow-Up:

References:

Subjective:
Chief Complaint: “My throat hurts”
History of Present Illness: A 10-year-old female presents with her mother to the clinic complaining of a sore throat for the past 2 days. She reports difficulty swallowing and pain when swallowing. She denies fever, cough, runny nose, or other symptoms. Her mother notes the child has seemed tired but is still eating and drinking. There is no relevant past medical or surgical history.
Objective:
On examination, the child appears uncomfortable but in no acute distress. Vital signs are within normal limits. Examination of the oral cavity and oropharynx reveals enlarged, erythematous tonsils with exudate. No cervical lymphadenopathy is appreciated. The remainder of the physical exam is normal.
Assessment:
Streptococcal pharyngitis. Clinical features of sore throat, difficulty swallowing, enlarged tonsils with exudate are consistent with Group A streptococcal infection (Roberts, 2016). Rapid strep test is positive.
Viral pharyngitis. Viral causes are a common differential in pediatric populations presenting with sore throats but clinical exam and rapid strep test make this less likely in this case (Centor et al., 1981).
Epstein-Barr virus (EBV) infection. While mononucleosis can present with sore throat, the lack of fever, fatigue, and physical exam findings make mononucleosis an unlikely diagnosis in this case (Cohen et al., 2000).
Plan:
Treat for streptococcal pharyngitis. Prescribe a 10-day course of amoxicillin as first line therapy (Shulman et al., 2012).
Provide supportive care with rest, fluids, and analgesics like acetaminophen for pain relief (Roberts, 2016).
Follow-up in 3 days to ensure improvement and adherence to antibiotic therapy (Shulman et al., 2012).
Patient Education:
Explain that the sore throat is likely due to a bacterial infection that will resolve with the full course of antibiotics (Roberts, 2016).
Recommend adequate fluid intake and soft, cool foods while symptoms persist (Centor et al., 1981).
Advise return if symptoms worsen or fail to improve in 3 days to ensure proper treatment (Cohen et al., 2000).
References:
Centor, R. M., Witherspoon, J. M., Dalton, H. P., Brody, C. E., & Link, K. (1981). The diagnosis of strep throat in adults in the emergency room. Medical Decision Making, 1(3), 239–246. https://doi.org/10.1177/0272989X8100100304
Cohen, J. I., Fingeroth, J. D., & Hay, J. B. (2000). Epstein-Barr virus. In Virology (4th ed., Vol. 2, pp. 2637–2671). Lippincott Williams & Wilkins.
Roberts, K. B. (2016). Streptococcal pharyngitis (strep throat) in children. American Family Physician, 93(11), 932–938.
Shulman, S. T., Bisno, A. L., Clegg, H. W., Gerber, M. A., Kaplan, E. L., Lee, G., Martin, J. M., Van Beneden, C., & Bulkow, L. R. (2012). Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 55(10), e86–e102. https://doi.org/10.1093/cid/cis629

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