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EBV testingChoose one
Strep testingChoose one
CBCChoose any
SpleenChoose one
AirwayChoose one
AntibioticsChoose one
ActivityChoose one
Follow-upChoose one
Follow-up reasonChoose anyJoins the line above
Follow-up reasonChoose anyJoins the line aboveNot in the note with these choices
SchoolChoose one
Counseling
Sore throat and fever usually improve over 1-2 weeks, though tiredness can last several weeks.
Supportive careChoose anyParagraph
Counseling
Avoid sharing drinks or utensils, and no kissing while sick. Return precautions given including trouble breathing, drooling or trouble swallowing, severe belly pain (especially on the left side), yellow skin or eyes, not drinking well, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
Heterophile (monospot); false negatives under 4
EBV serology (VCA IgM, EBNA) under 4 or atypical
Atypical lymphocytes
Airway obstruction: steroids
No ampicillin or amoxicillin; rash
Contact sports: 21 days, then 4-7 weeks if no splenomegaly
Fatigue may persist
Avoid salivary exchange
Used to decide, kept out of the note
No antiviral benefit
Imaging and repeat serology not useful
Return precautions in the template
trouble breathingdrooling or trouble swallowingsevere belly pain (especially on the left side)yellow skin or eyesnot drinking well