Your patient is a 19-year-old female college student complaining of a low-grade fever, extremely sore throat, tenderness of the cervical lymph nodes, and extreme fatigue. Examination reveals warm, moist, flushed skin. Heart rate = 88, respirations = 12, and blood pressure = 118/78. There is tenderness to palpation of the left upper quadrant of the abdomen. Which of the following is most likely?

Question

Quizplus · Accepted Answer

The symptoms of a low-grade fever, extremely sore throat, tenderness of the cervical lymph nodes, and extreme fatigue are consistent with mononucleosis, also known as mono. The warm, moist, flushed skin can also be a symptom of mono. The heart rate and blood pressure are within normal limits, but the low respiratory rate may indicate fatigue. The tenderness to palpation of the left upper quadrant of the abdomen can be a symptom of an enlarged spleen, which is common in mono. Bacterial meningitis and Hantavirus pulmonary syndrome would not typically present with these symptoms. Fifth disease is a viral infection that causes a rash and is not commonly associated with the symptoms described.

Your Patient Is a 19-Year-Old Female College Student Complaining of a Low-Grade