A 5-year-old child is brought into the clinic by a parent, who reports the child has a "sore throat." Which assessment finding would require immediate notification to the health-care provider?
A.
Difficulty swallowing
B.
Inflamed, red pharynx
C.
Refusing to eat the last 2 days
D.
Strawberry-colored tongue
ANS: D
A strawberry-red tongue, petechiae on the palate, and a fine red rash on the trunk or abdomen are consistent with pharyngitis caused by Streptococcus A infection, which needs immediate treatment. The other manifestations are seen with viral pharyngitis infections.
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