Amanda Hughes is a 25-year-old school teacher who presents t…

Amanda Hughes is a 25-year-old school teacher who presents to your practice with complaints of cough, fever and myalgia.  “I feel just awful”.  She experienced sudden onset of symptoms this a.m. In addition to her cough and achiness,  she has a “horrible headache”, fever of 104 degrees and slight nausea.  She is ill appearing and laying on the exam table when you enter the exam room.  Other than that and temperature of 104.2, her physical exam is unremarkable.  From this description, you suspect that she has: