A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and swollen lymph nodes". States he has felt "lousy" for a couple of weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu didn’t seem to work. States had a slight sore throat a couple of weeks ago and attributed it to the flu. A physical exam revealed a thin young man who appears to be uncomfortable but not acutely ill. Posterior pharynx reddened and tonsils 3+ without exudate. + anterior and posterior cervical lymphadenopathy. Tachycardic and a new onset 2/6 high-pitched, crescendo-decrescendo systolic ejection murmur auscultated at the left sternal border. Rapid strep +. The patient was diagnosed with acute rheumatic heart disease (RHD). Explain how a positive strep test has caused the patient’s symptoms.

Explanation:

Since the strept test came out posutive then it means that the patient had a streptococcal infection. Such a bacteria would affect a persons throat as teh body reacts to it several symptoms such as enlarged tonsils, sore throat and fever would begin to manifest.

This infection would cause the body to respond in such a way that it would antibodies against the disease. This patient did not respond to the treatment against the viral flu when he took tamiflu because he was wrongly diagnosed. the antibody would have a cross reaction with the tissues of the body bringing about inflammations and this causes a heart condition.

people are just afraid of difference. honestly no where in the bible does it say you can't be gay or bi or anything it says he loves all his children the same and he wants the best for us but we need to be truthful and all that yadda yadda anyways, god doesn't hate gays, he does hate hate, hypocrites, liars, and all that and even then he forgives those who ask for it. so your mum's reasoning is totally wrong xd sorry love, i had to rant a bit but i hate it when people do that. if anything i accept you! stay amazing! ^-^

i say that the answer is 'd'