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Family, Internal Medicine, General Medical Questions/Question about the uvula, tonsils, and throat-a month after mono diagnosis.


Hello, doctor. I am in a panic because it is Sunday, and my primary care physician is on vAcation this up coming week. Last month I was diagnosed with mono, and my extreme symptoms ended about 2 weeks ago. Since then I have returned to my daily routine. This weekend, I started to develop a scratchy, not sore, throat. Last night after work, I examined the back of my throat and I noticed, first and foremost, purple patches on my uvula
Ranging in size and shape. They appear superficial, but purple, reddish blue on color. Almost like blood, I guess. I also noticed red and yellow green spots on the back of my throat, as well as slightly swollen tonsils with a couple of pus pockets on each tonsil. My whole throat appears irritated and red, but it's still not sore. I am a major hypochondriac, and I also have terrible anxiety. I think everything is cancer related, especially anything part aiming to the mouth. I recently quit chewing tobacco (2 months ago), and I have since then had an oral cancer screening. My dentist said I was fine, and my primary care doctor laughed at me and said the odds are extremely rare. I only chewed, off and on, for about 5 years. I went through 1-2 tins a week if that. What really threw me into a panic were the purple patches on my uvula, because I've never seen them before. Any information you can give me would be appreciated. Oh, and my wisdom teeth are also coming in, so I have been experiencing jaw pain up to my ears, sometimes difficulty chewing (tiredness), and that's pretty mch it. Sorry for the long winded question, I just tend to freak out about these things.  I am also attaching a picture of my throat (the flash is making it more extreme looking than it appears under normal lighting.

Dear Nicholas,

Based on your description, symptoms, and picture, you can rest your mind at ease that this is not cancer. It appears to be an acute infection in the oropharynx that may or may not be strep throat. Your best bet is to follow up with the doctor on call who is covering for your physician while he is away; or at a walk in clinic for a throat culture. Feel free to write in with any concerns.  

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Dr. Pamela M. Cipriano, DNP, APRN


My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.


I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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