Q:

A 30 year old man presents to the ED with difficulty breathing. He has returned from India. Exam: throat reveals grey membranes on the tonsils and uvula. He has mild pyrexia. What is the single most relevant diagnosis?

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A 30 year old man presents to the ED with difficulty breathing. He has returned from India.

Exam: throat reveals grey membranes on the tonsils and uvula. He has mild pyrexia. What is the

single most relevant diagnosis?


  1. Diphtheria
  2. IM
  3. Acute follicular tonsillitis
  4. Scarlet fever
  5. Agranulocytosis

All Answers

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The key is A. Diphtheria. [history of travel to india, grey membrane in tonsil and uvula, low grade

fever, and dyspnoea support the diagnosis of diphtheria].

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