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A 14 year old male comes to the clinic with sore throat, headache & fever for 2 days. after noting palatal rash and scarlatiniform rash on the trunk. What should be the next step?

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Answer:

Based on the symptoms mentioned, the next step for the 14-year-old male patient with a sore throat, headache, and fever for two days and a palatal rash and scarlatiniform rash on the trunk could be a diagnosis of Scarlet fever. The most likely cause of this condition is Group A streptococcus (GAS) infection.

The next step would be to confirm the diagnosis by performing a throat culture. The patient may also require a blood test and a rapid antigen test. Antibiotics such as penicillin or amoxicillin are the usual treatments for streptococcal infections. It is important to complete the full course of antibiotics to prevent complications such as rheumatic fever.

Providing supportive care to relieve symptoms such as fever and pain is also important. Over-the-counter pain relievers such as acetaminophen or ibuprofen can be recommended to relieve pain and reduce fever.

In conclusion, the next step for the 14-year-old male patient with a sore throat, headache, and fever for two days and a palatal rash and scarlatiniform rash on the trunk should be to confirm the diagnosis by performing a throat culture and starting the appropriate treatment.

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