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Click ‘Get Form’ to open it in the editor.
Begin by entering the patient's name, age, and medical record number at the top of the form.
In the data collection section, assess symptoms by checking relevant boxes for fever history, cough absence, tender nodes, and tonsillar swelling. Each checked symptom contributes points to evaluate strep throat risk.
Indicate the patient's age category by selecting one of the options provided. This will affect the total score calculation.
Review suggestive findings and diagnostic considerations. Mark any applicable symptoms that may indicate strep throat or other conditions.
Complete the rapid strep test and mono spot test sections based on results. Document any additional history as needed.
Calculate the total score based on your inputs to determine diagnosis and treatment recommendations.
Fill in the diagnosis and antibiotic treatment sections according to your assessment and patient needs.
Lastly, provide any symptomatic measures and follow-up visit details before saving or sharing the completed form.
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