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1) Discussion: Alterations in Cellular Processes > Case Study Scenario

A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills.

PMH negative for recurrent colds, influenza, ear infections or pneumonias.

NKDA or food allergies.

Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+.

Positive anterior and posterior cervical adenopathy.

Rapid strep test performed in office was positive.

His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing.

911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.

Using this Case Study, post an explanation of the disease presented. In addition, include the following information:

Role of Genetics
Why the patient presented with the symptoms to the ED
What was the physiology response and why did the response occur?
Which cell are involved in this process (Strep pharyngitis or Allergic reaction)
How other characteristics would change your response.