Problem: A 15-year-old female was taken into the clinic by her mother. Mom reports that when she awoke today, she appeared to be out of it and was slow to get up. She complains of a sore throat, a runny nose, and ear ache. According to mom, she felt warm but was unable to take her temperature. She was doing well the day before yesterday, but now she seemed to be out of it. She was with her cousin during the weekend, but her aunts were sick with a cold. Today, mom reports she missed school and is still moaning about her throat.