Do history and exam: If history suggests viral agent with nasal congestion and cough, then observation and Rx fever only would be appropriate for a person who is a strep carrier. However, many individuals do not complain of sore throat with strep, but on exam have a red palate, enlarged tonsils and cervical adenopathy. I would treat with amoxicillin or cephalosporoin or clindamycin.
Answered 7/6/2017
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