I was doing some moonlighting the other week, and I had a textbook case walk through the door. However, it's a case that doesn't walk through the door all too often.

I had a 63 year old male with a history of hypertension and type 2 DM who presented with sore throat x 5 days. He denies shortness of breath and chest pain.

Vitals revealed normal temperature, HR 95, BP 145/80, and O2 sat 98% RA.

At first, I was thinking this is likely a simple URI and was ready to give tylenol for pain coupled with a prescription for rest and fluids.

As I walked in to greet the patient, I noticed there was clearly something wrong. He responded with a muffled voice as if he had a potato in his mouth.

So I did my exam...

...I'm excited to share this case with everyone and I hope you enjoy!

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