1. Erythema Migrans- (stage 1 Lyme) - ANS -Target bulls-eye, usually
appears in 7-14 days POST being bitten by a deer tick. Rash is hot
to touch with rough texture, flu like symptoms. DX: B. Burgdorferi
via ELISA, then confirm with western blot. Increased ESR.
TREATMENT: Younger than 7- Amoxicillin or cefuroxime axetil.
Older than 7 yrs.- Doxycycline. EXAM
2. RMSF - ANS -Fever, chills, N/v, photophobia, myalgia, arthralgias
THEN 2-5 days later you develop a petechial rash on forearms,
ankles, wrists, that spreads towards trunk and becomes
generalized. Think rocky NC/OK/AK/TN/MO DX: PCR essay with
Rickessetti Antigen TREATMENT- doxycycline. EXAM
, 3. Erythema Migrans- (stage 1 Lyme) - ANS -Target bulls-eye, usually
appears in 7-14 days POST being bitten by a deer tick. Rash is hot
to touch with rough texture, flu like symptoms. DX: B. Burgdorferi
via ELISA, then confirm with western blot. Increased ESR.
TREATMENT: Younger than 7- Amoxicillin or cefuroxime axetil.
Older than 7 yrs.- Doxycycline EXAM
4. Melanoma - ANS -Dark Moles, uneven texture, different colors,
irregular, >6mm, could be itchy EXAM
5. Stevens Johnson Syndrome - ANS -Classic is target or bulls-eye.
Abruptly, hives, blisters, petechiae, purpura, necrosis, sloughing of
tissues. Extensive mucosal involvement. Prodrome of fevers with
flu like symptoms. Triggers: Allopurinol, anticonvulsants, pcn,
sulfonamides, NSAIDS. HIV patients have higher risk for this
syndrome.
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