4.9 of 7 Ratings
A 29-year-old male presents to an urgent care clinic with complaints of fever, malaise, fatigue, and a rash on his upper arm (Figure A). He reports that he just returned from a camping trip in Connecticut this past weekend. Which of the following is a known complication of failing to appropriately treat this patient's presenting condition?
Cranial nerve VII palsy
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A 55-year-old woman presents to her primary doctor for a 1-day history of left knee swelling and mild pain. She has also felt generally unwell for the past several days which she attributed to a viral illness and her rheumatoid arthritis. The patient works as a commerical sex worker and generally does not see her physician. Review of systems is notable for her complaining of palpitations during this time frame as well, which she attributes to anxiety. Her temperature is 100°F (37.8°C), blood pressure is 127/81 mmHg, pulse is 60/min, respirations are 17/min, and oxygen saturation is 98% on room air. The patient's left knee appears swollen and warm to the touch; however, she is able to ambulate and passive range of motion does not elicit significant pain. An ECG is performed as seen in Figure A. Which of the following is the most likely etiology of this patient's symptoms?