07-22-2023, 12:46 AM
A 27-year-old male complained of nasal congestion for 10 days. He states he started with a stuffy nose 10 days ago and has tried Claritin with no improvement, has had a cough for 7 Days, headaches, and fatigue. He denies fever. On examination, he has a malodourous and erythematous nasal turbinate with edema and yellow nasal discharge. There is fluid behind the tympanic membrane that is a pearl with a visible light reflex and landmarks. He complains of pain with palpation to his maxillary sinuses, and his posterior pharynx is erythematous with 2+ tonsils. His breath sounds are clear to auscultation bilaterally. The most appropriate diagnosis is:
A Mononucleosis
B Sinusitis
C Acute otitis media
D Strep pharyngitis
A Mononucleosis
B Sinusitis
C Acute otitis media
D Strep pharyngitis