4 results
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Localized • EM ... arthralgia, headache, fever ... days-weeks after EM ... years after • Arthritis ... - CSF + Lyme
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... Consider BCx, CSF ... Diagnosis #Peds #EM ... #Classification ... #Ddxof
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Septic Arthritis ... active ROM +/- fever ... avascular necrosis, Lyme ... results *** MH/CCF ... /CWRU EM Res @MetroHealth_EM
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis: • Fevers ... purpura: Strong sign ... Cerebrospinal fluid (CSF ... oligoclonal bands • MRI ... pain and GN Anti-GBM