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A 24-year-old woman who lives on Long Island, New York, is evaluated because of fatigue, joint pain, and fever. She was bitten by a tick 3 weeks ago. One week ago, she developed low-grade fever, malaise, and diffuse joint pains that migrated from joint to joint, especially to her knees, elbows, and wrists. Two days ago, she developed a red bump on her finger. The patient is otherwise asymptomatic, medical history is unremarkable, and she takes no medications. She is in a monogamous sexual relationship with her boyfriend. On physical examination, she appears anxious and uncomfortable. Temperature is 38 °C (100.4 °F), pulse rate is 98/min, and blood pressure is 120/78 mm Hg. There are no conjunctival hemorrhages. Her neck is supple. Cardiopulmonary and abdominal examinations are normal. Her right wrist and left knee are slightly warm and tender. A single small (
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did you go to the laundry? where is the question maaaaaaaaaan!
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sorry friends. Posting question again.
A 24-year-old woman who lives on Long Island, New York, is evaluated because of fatigue, joint pain, and fever. She was bitten by a tick 3 weeks ago. One week ago, she developed low-grade fever, malaise, and diffuse joint pains that migrated from joint to joint, especially to her knees, elbows, and wrists. Two days ago, she developed a red bump on her finger. The patient is otherwise asymptomatic, medical history is unremarkable, and she takes no medications. She is in a monogamous sexual relationship with her boyfriend. On physical examination, she appears anxious and uncomfortable. Temperature is 38 °C (100.4 °F), pulse rate is 98/min, and blood pressure is 120/78 mm Hg. There are no conjunctival hemorrhages. Her neck is supple. Cardiopulmonary and abdominal examinations are normal. Her right wrist and left knee are slightly warm and tender. A single small (
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A 24-year-old woman who lives on Long Island, New York, is evaluated because of fatigue, joint pain, and fever. She was bitten by a tick 3 weeks ago. One week ago, she developed low-grade fever, malaise, and diffuse joint pains that migrated from joint to joint, especially to her knees, elbows, and wrists. Two days ago, she developed a red bump on her finger. The patient is otherwise asymptomatic, medical history is unremarkable, and she takes no medications. She is in a monogamous sexual relationship with her boyfriend. On physical examination, she appears anxious and uncomfortable. Temperature is 38 °C (100.4 °F), pulse rate is 98/min, and blood pressure is 120/78 mm Hg. There are no conjunctival hemorrhages. Her neck is supple. Cardiopulmonary and abdominal examinations are normal. Her right wrist and left knee are slightly warm and tender. A single small (less than 1 cm) pustular lesion is present on her left ring finger. No other lesions are noted. which of the following studies will most likely establish the diagnosis?
A Lyme disease Western blot analysis for IgG
B Lyme disease Western blot analysis for IgM
C Cultures of the pharynx, cervix, and anus
D Blood cultures
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why cc....?pt is in monogamous relationship..why pustular lesion on finger???? do u get pustular lesions in gono...
why not DDDD..
?
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