b’Marcus is an 8-year-old with a 36-hour complaint of headache (frontal), sore throat, fever to 102xc2xb0F, and nausea. Mom says his appetite is decreased and his breath smells xc2x93like a puppy dogxc2x92s.xc2x94 Physical examination reveals: lungs clear to auscultation, tymp’

b’nMarcus is an 8-year-old with a 36-hour complaint of headache (frontal), sore throat, fever to 102xc2xb0F, and nausea. Mom says his appetite is decreased and his breath smells xe2x80x9clike a puppy dogxe2x80x99s.xe2x80x9d Physical examination reveals: lungs clear to auscultation, tympanic membranes partially obscured by cerumen but in neutral position and transparent, enlarged tonsilar and anterior cervical lymph nodes, 2+ enlarged and red tonsils with exudate, strawberry tongue, and petechiae on the soft palate. ‘

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