Next week

The next week Mrs Larson and her son Harry come to the surgery.

'I knew we shouldn't have waited' she started.

You ask Harry what the problem is. He replies, with multiple interuptions from the mother. You note the following:

• 15 year old male

• Previously well. One admission for appendicitis age 9. Not on any medication.

• 2 weeks ago had sore throat lasting 2-3 days, with mild fever. Was prescribed antibiotic (red/yellow capsules), but was getting better already.

• Noted small tender lump on left side of neck at that stage. Initially seemed to get a little smaller but now is bigger again. In the last few days another one seems to be developing lower down the neck.

• He has one sister, age 19 years, at medical school. Parents both architects.

• Went to Goa 6 months ago for family holiday. Had mild diarrhea and vomiting at the time.