HPI:
--If they read the textbook, they come in with: fever, pharyngitis, adenopathy, fatigue, and atypical lymphocytosis, +/- splenomegaly.
DIAGNOSIS:
--Monospot test is helpful, doesn't take forever to get
--EBV (Epstein-Barr Virus) stuff
SOMETHING I (re)LEARNED RECENTLY:
--Elevated LFTs (liver function tests): very common in mono, but are self-limited
--If you have a pt with pharyngitis/feeling crappy, with elevated LFTs, let mono float through your differential
TREATMENT:
--supportive, symptomatic
--steroids controversial
GOOD ADVICE FOR PATIENTS:
--no contact sports for 3-4 weeks (highest risk of spontaneous or traumatic splenic rupture most likely 2-21 days after onset of symptoms)
Reference(s): Aronson MD, et al. Infectious mononucleosis in adults and adolescents. UpToDate.com
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