ENT - PAEA Emergency Medicine EOR Topics Questions with Complete Solutions Rated A+

Dx? *fever*, *sore throat* +/- exudates, *posterior* cervical LAD, malaise, myalgias, general LAD, *splenomegaly*, hepatomegaly, petechial rash in 5% (especially if given ampicillin), sx's lasting for mos, transmission by saliva, seen in young adults; tx? supporting labs? dx: epstein-barr virus (infectious mononucleosis) aka HHV-4 tx: supportive (rest, analgesics, antipyretics), corticosteroids (only if airway obstruction from LAD, hemolytic anemia, or severe thrombocytopenia, avoid trauma/contact sports if splenomegaly is present to prevent splenic rupture labs: heterophile (monospot) Ab test, rapid viral capsid antigen test, peripheral smear >50% lymphocytes w/ 10% atypical lymphocytes, inc LFTs what viral infection has an association w/ Hodgkin's lymphoma due to the virus infecting B cells? It can also cause Burkitt's lymphoma or CNS lymphoma in patients with AIDS EpsteinBarr Virus (infectious mononucleosis) aka HHV-4