Change in a Boy

The patient was a seven-year-old boy, who came to see me with his mom. She said that he complained of sore throat two days prior and was “spitting up” the “phlegm”. She denied any fever, cough or vomiting up food. She was concerned that her son was not able to eat or drink anything for past two days. The boy was seen on the previous day by a different doctor who examined him and took a throat swab, which showed no strep. During our conversation the boy was sitting on the exam table with a paper cup constantly spitting his saliva in it. He was not coughing and did not appear to be in pain. It looked like he was not [Continue reading…]

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