U.S. licensed physicians, only please. Two nights ago, my 5-year old developed a sore throat and a mild fever
of 99.9. The following day he was feeling quite a bit more miserable with an extreme sore throat. I looked into his throat with a tongue depressor and a flashlight. His tonsils were extremely swollen, and I am quite sure that I saw just loads of tiny clear blisters -- not pustules. I wasn't too concerned, thinking that it was probably viral (perhaps herpangina based upon Google images), but took him to the express care to be on the safe side. The express care physician, looked in his throat without the use of a tongue depressor and thought that what I perceived to be blisters was just mucus, but did express that she thought she saw yellow streaks in his throat. He also had extremely swollen, but non-tender cervical lymph nodes. Based upon the temperature
and yellow streaks, she diagnosed him with Sinusitis and prescribed Augmentin, which we are having a terrible time getting him to take but were able to get some of the medication in him today. Today he has been worse, but still played some until this evening when he just broke down crying. I took his temperature, which measure 102.6 I called the on-call doctor who said that they are indeed seeing a lot of viral cases, and just advised me to call them if his temperature got above 105 degrees Fahrenheit. I will say that when I Google "When to call a doctor for tonsillitis" he gets a check for almost every sign and symptom. His voice is muffles, he has extremely inflamed and swollen tonsils in the neck. He is sleeping now and breathing through both his nose and mouth, but is sounds labored and congested. I do have a video that I can provide. The on call physician didn't feel that it was necessary to have prescribed the augmentin, and I completely understand the rationale for NOT prescribing antibiotics unnecessarily. He is up to date on all of his immunizations and is responding to the small amount of ibuprofen
that we were able to get down him. I just received two very different points of view from two different physicians and thought that I should confuse myself more by adding in a third. Honestly though, I do want to make sure that I do everything that I am supposed to do. He is usually a very energetic and lively little boy and I am not used to seeing him like this. He has only had to be on antibiotics once for an ear infection. I appreciate any recommendations.