The school nurse is screening all second graders for tonsillitis and pharyngitis. Which finding is a normal finding in this age group?
1. Tonsils are large and seem to fill the throat.
2. Child is complaining of sore throat and drooling
3. White patches are observed on the tonsils.
4. Throat appears red, and child has a low-grade fever
1
Rationale 1: This is a normal finding as the tonsilar material grows faster than the child and reaches adult size in this age group. It is not a reason to refer the child for follow-up.
Rationale 2: Both symptoms indicate pharyngitis and should be evaluated by a physician.
Rationale 3: White exudate is associated with tonsillitis and requires further evaluation.
Rationale 4: These symptoms suggest pharyngitis; the child should be evaluated further.
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