A 14-year-old male presents to the clinic with his parents after experiencing a fever, fatigue, and a sore throat for the past week. The parents note that the client has been too tired to participate in after-school activities and has experienced a decreased appetite. On exam, the client has cervical lymphadenopathy, exudate in the pharynx and on the tonsils, and petechiae. All other physical exam findings were normal except for increased spleen size noted during palpation. The client has no medical history and is current on all scheduled vaccinations.
Blood Pressure 114/69 mm Hg
Temperature 101° F (38.3° C)
Heart rate 90/min
Respiratory rate 17 breaths per minute
Oxygen saturation 96% on room air
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The client is demonstrating signs and symptoms of [pertussis / mononucleosis / bronchitis / influenza]
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