Scenario 1 - Tonsillitis
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Telephone Consultation for Sore Throat: Guidance and Treatment
Introduction
Initial Contact: Mr. Smith, a patient, contacts the out-of-hours service with throat concerns.
Verification of Patient Details
Confirmation: Urgent care practitioner verifies Mr. Smith's identity and reason for calling.
Symptoms Assessment
Presenting Symptoms: Mr. Smith reports severe throat pain exacerbated by swallowing, along with joint ache and swollen glands under his jawline.
Medical History and Current Condition
Medical Background: No significant medical history except hay fever, no current medications other than paracetamol.
Diagnosis and Treatment Plan
Possible Diagnosis: Suspected acute tonsillitis based on symptoms and visual inspection.
Treatment Plan: Prescribing a 10-day course of penicillin-based antibiotics.
Guidance for Mr. Smith
- Medication Instructions: Take antibiotics as prescribed, spaced from meals for optimal absorption.
- Supportive Care: Continue using paracetamol for pain relief, ensure adequate fluid intake.
- Monitoring: Watch for worsening symptoms such as severe throat pain, difficulty swallowing, or breathing problems.
- Emergency Protocol: In case of emergency (severe symptoms), dial 999 immediately.
- Follow-up: If symptoms persist after 2-3 days or worsen, contact GP for review.
Conclusion of Call
Closure: End of consultation with instructions reiterated and patient understanding confirmed.