Lyme Disease: Clinical diagnosis. Likely if recent hiking, travel to endemic area, erythema migrans (EM), an erythematous patch that blanches and may or may not have central clearing. Treatment is doxycycline for disease involving skin, joints, or Bell palsy; ceftriaxone if carditis, meningitis (see figures). #Diagnosis #LymeDisease #Symptoms #Early #Late #Curbsiders