2 year old with fever for 3 days, otherwise generally healthy, fussy and not eating, skin is hot and dry, tympanic membranes are slightly reddened on the periphery otherwise normal, throat is erythematous with 4+ tonsils and diffuse exudates, anterior cervical nodes are readily palpable and tender to the touch on the left side, child says throat hurts when swallowing, hr 130 rr 24 temp 102.8