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chief complaint of a sore throat for 3 days

A 16-year-old boy comes to the clinic with a chief complaint of a sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections, or pneumonia. NKDA or food allergies. Physical check reveals temp of 99.6 F, pulse 78, and regular with respirations of 18. HEENT normal with exception of the reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. The rapid strep test performed in the office was positive. His HCP wrote a prescription for amoxicillin 500 mg PO q 12 hours x 10 days #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.

  • The role genetics plays in the disease.
  • Why the patient is presenting with the specific symptoms described.
  • The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
  • The cells that are involved in this process.
  • How another characteristic (e.g., gender, genetics) would change your response

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