Pharyngitis, peritonsillar abscess, and retropharyngeal abscess (pediatrics) Quiz: Ace Your Exams
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A 13-year-old boy presents to the clinic for evaluation of worsening sore throat for one week. He was diagnosed with strep throat one week ago and has been compliant with the prescribed amoxicillin; however, he has had progressive worsening of the sore throat and developed pain with swallowing and a hoarse voice two days ago. He has no significant past medical history and is up-to-date on immunizations. Temperature is 38.4°C (101°F), blood pressure is 110/67 mmHg, pulse is 111/min, respiratory rate is 20/min, and oxygen saturation is 98% on room air. The patient is seated comfortably. Mucous membranes are moist. Examination of the posterior pharynx reveals erythema with significant swelling of the right tonsil with uvular deviation to the left. There is full range of motion of the neck with minimal bilateral cervical lymphadenopathy. Cardiopulmonary and abdominal examinations are within normal limits. Which of the following is the best next step in management?
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