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Short Answer Questions for ED Fellowship Study

Case: Lemierre syndrome

An otherwise well 20-year-old male patient presents with sepsis seven days after developing a severe sore throat. You suspect Lemierre syndrome. He has no significant past history, is on no regular meds and has NKDA.

1. List (3) elements of Lemierre Syndrome. 3 marks

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2. State (4) specific findings you would seek on physical examination. 4 marks

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3. What is the commonest complication of this condition? 1 mark

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4. What is the confirmatory investigation? 1 mark

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5. Prescribe your antibiotic regimen including dose and frequency. 1 mark

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IV fluid resuscitation has been commenced and he is currently haemodynamically stable. Analgesia has been provided.

6. State (2) other specific treatments you would consider. 2 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.