Virtual Patients - Sore Throat
With your treatment, the patient improves significantly and begins eating and drinking. As such he is discharged home.
Three days later the patient represents to A&E with the pain now more unilateral on the left-side of the throat. His voice has now changed and the last 24 hours he has noticed that mouth opening has become difficult.
On examination his observations are:
Blood pressure of 135/90
Pulse 101bpm regular
Sats 100% on air
Respiratory rate of 22.
The oropharynx is difficult to visualise due to a 1.5cm trismus. However, the left tonsil is very large and the soft palate appears to be bulging on that side. The uvula deviates to the right.
What is your diagnosis?