Answer:
The most likely etiology is that the boy has a Coxsackie virus.
Explanation:
The symptoms of a Coxsackie virus infection are painful blisters on the throat, hard palate, tongue, and inside the mouth that makes the kid refuse to drink or eat. Also, the blisters on the arms, hands, soles of the feet, and legs. The infection symptoms start abruptly, like in this case, from one day to the other.
INDICATION:
Both tramadol and trazodone are prescribed as pain relievers and sleep aid. But the difference is that the tramadol is an opioid, and the trazodone is an antidepressant. They are from different family but they could be used for the same indication.
SIDE EFFECTS:
Tramadol and trazodone may have some side effects but not the same frequency of them, for example, both tramadol and trazodone give nausea but it is more frequent with tramadol than with trazodone.
Trazodone can cause weight gain and tramadol can cause both weight gain or loss.
Trazodone takers can have nightmares and tramadol can have paranoia and hallucinations.
The muscular tension. Hope I helped at all