Start with a free account for 3 free CME credits. Already a subscriber? Sign in.

What Would I Do Next? | Strep vs. Mono

Andy Barnett, MD and Matthieu DeClerck, MD
00:00
16:16
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

Andy and Matt run through a case of a patient presenting to UC with a sore throat. Clinical presentation, clinical decision tools, and point of care testing are key to making a diagnosis between strep and mono. The decision to treat with antibiotics is based on making the right diagnosis. Patients with mono require specific follow up, discharge instructions, and return precautions due to the risk for splenic rupture. 

 

To view chapter written summaries, you need to subscribe.

Sign up today for full access to all episodes.

Brendan W. -

I thought monospot was a blood test

Brendan W. -

CDC: "The Monospot test is not recommended for general use."

Mike W., MD -

Yes, monospot a blood test - thx Brendan!
M

Ian L., Dr -

If you are unsure penicillin is preferred as in mono Amoxil leads to a rash .
Mono exudate is sometimes associated with peri orbital Edema and a flat plaque type exudate
In young adults who refuse a blood test ultrasound of abdomen can show hepatomegaly

Mike W., MD -

Thx Ian!
M

Michael M., MD -

At our UC we often obtain a CBC with differential to look for atypical lymphocytes

Mike W., MD -

Thx Michael for sharing this!
M

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Hippo Peds RAP - March 2020 Written Summary 305 KB - PDF

To earn CME for this chapter, you need to subscribe.

Sign up today for full access to all episodes and earn CME.

0.25 Free AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate

3.25 AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate