LL is a 12 year old female presenting to her pediatrician, complaining of sore t


LL is a 12 year old female presenting to her pediatrician, complaining of sore throat and cough. She has had some hoarseness in her voice over the past few days and subjective sweats but no documented fever. She has a history of seasonal allergies in the fall, and takes loratidine only during that season. Upon review of systems, she complains of isolated throat pain, without any rhinorrhea, sinus pressure, or headache. Her mother has been taking her temperature at home, and they have fluctuated from 97.8oF- 99.2oF.
Vitals
Tcurr
99.0oF, 37.2oC
Heart Rate 115 bpm
Respiratory Rate 18 bpm
Blood Pressure 110/76
Oxygen Saturation 100% on room air
Physical Exam
General
Relatively comfortable healthy child
HEENT Pupils equally round and reactive to light and accommodation, no sinus tenderness, enlarged tonsils
Neck Supple, mildposterior cervical lymphadenopathy
Resp
Normal breath sounds
Card
Regular rate and rhythm, no murmurs, rubs, or gallops
Abd Non-tender, non-distended
Ext No edema
Skin No rashes
Neuro Normal for age
LabsNa: 1344
Creatinine: 0.6
K: 4.6
WBC: 8.6
Cl: 101
Hgb: 13.6
Bicarb: 25
Hct: 40.8
BUN: 18
Platelets: 333
Based on the information provided above and the clinical guidelines for diagnosis and management for sore throat answer the following questions
What is your primary diagnosis and how do you support it?
mention 3 differential diagnsosis
Therapeutic plan


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