A Case of a Sore Throat

by Bob Stuntz

A Case of a Sore Throat

A 23 year old male presents to the ED with 4 days of sore throat, getting much worse over the last 24 hours.  You note that he has a muffled sounding voice.  On exam, he has trismus, uvular deviation, L sided tonsillar asymmetry, and could seriously use a breath mint.  Your attending decides to perform an intraoral ultrasound to evaluate the patient, and you see the above image.  

1. What do you see above?

2.  What is the next step in management?

3.  Should you start antibiotics or not?