Version: 2.2.2 | March 2025
A 19 year old girl has for five days had a worsening sore throat and severe fatigue, but no cough. Another GP began penicillin V three days ago, but she is worse. She is febrile, with swollen, red, pus-covered tonsils. You also note palatal petechiae and swollen posterior and anterior neck glands.
1. Aphthous ulceration 2. Viral pharyngitis 3. Quinsy 4. Glandular fever 5. Tonsillitis