SAQ 616 – ENT – febrile neck swelling with systemic illness

Marked out of 10.00

A 43-year-old woman presents with increasing left neck swelling and fever after one week of sore throat. Today she has also developed a painful left knee. She looks unwell and is drowsy but easily roused. The photograph and vital signs are shown below.

Observation Result
BP 105/55 mmHg
HR 110 bpm
RR 24 /min
Temperature 38.7 degrees C
O2 saturation 99% room air
GCS 14 (E3 V5 M6)
Photograph showing left neck swelling in a febrile adult.
Neck swelling photograph

List your three (3) most important differential diagnoses.

(Marked out of 3.0)


/ 3

List three (3) important investigations that will aid diagnosis.

(Marked out of 3.0)


/ 3

State four (4) management priorities.

(Marked out of 4.0)


/ 4

Total Score: 0 / 10

Percentage: 0%