Snapshot A 4-year-old boy presents to the pediatrician with fever and bilateral conjunctivitis. This was preceded by a 5-day history of a non-productive cough, rhinorrhea, and sore throat. There is no history of sick contacts, but the child attends daycare 3 times a week. Physical exam revealed an ill-looking child with bilateral conjunctival injection, scanty greenish discharge, and cervical lymphadenopathy. The mucosa of the oropharynx is hyperemic. Complete blood count shows a leukocyte count of 8500/mm3. Throat swab and blood cultures proved negative for bacteria and a swab of the posterior pharynx was sent for viral PCR. Introduction Classification login to view 1 more bullet Epidemiology login to view 8 more bullets Pathogenesis login to view 6 more bullets Associated conditions login to view 3 more bullets Prevention login to view 6 more bullets Prognosis login to view 1 more bullet Presentation Symptoms login to view 16 more bullets bloody urine self-limiting Physical exam login to view 6 more bullets Studies Labs login to view 5 more bullets Histology login to view 2 more bullets Making the diagnosis login to view 2 more bullets Differential Rhinovirus login to view 2 more bullets GAS pharyngitis login to view 2 more bullets Influenza login to view 2 more bullets Treatment Mostly self-limited and treatment is supportive Medical login to view 3 more bullets Complications Bronchiectasis and bronchiolitis obliterans Disseminated adenovirus infection