Question

A previously healthy 18-year-old woman presents with sore throat and pain with swallowing. Her vital signs are T 102.7°F, HR 124, BP 123/76, RR 22, and oxygen saturation 97%. On examination she has trismus, pain with neck extension, and difficulty swallowing her saliva. Her oropharyngeal examination is unremarkable. What is the most appropriate next step in management?

Answer 1

This patient is suffering from a retropharyngeal abscess and will need advanced imaging (CT scan of the neck with IV contrast) to further delineate the extent of the disorder along with emergent ENT consultation for possible operative intervention.

Step-by-step explanation: