Question

a 14 - year - old female patient complains of pain in her abdomen that radiates to her back and shoulder. the patient also presents with a sore throat, fever, and swollen lymph nodes. she tells you her stomach feels full, and she has constant hiccups. what is the most probable diagnosis and what test would you run to confirm it? (choose two) ebstein - barr virus kidney stone gerd viral hepatitis monospot kub ph test hepatitis panel

Explanation:

The patient's symptoms (sore throat, fever, swollen lymph nodes) are characteristic of Epstein - Barr Virus (EBV) infection (mononucleosis). The Monospot test is used to detect heterophile antibodies which are often positive in EBV infections. Viral hepatitis symptoms may include abdominal pain (due to liver involvement), but the sore throat and swollen lymph nodes are more typical of EBV. A hepatitis panel would be used to confirm viral hepatitis. GERD (gastro - esophageal reflux disease) usually presents with heartburn rather than the systemic symptoms (fever, lymphadenopathy). Kidney stone pain is usually more colicky and related to the urinary system. KUB (Kidney - Ureter - Bladder X - ray) is for kidney stones. pH test is for GERD.

Answer:

Epstein - Barr Virus, Monospot