Transcript Problem-Based Learning Simulation

Similar to the TV Show “House”
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Anyone want to read this? 
A 30 year-old white female lab
technician who lives in Boston,
MA presents with an upper
respiratory infection, fever,
chills, and a rash on her thigh.
A week ago, with a group, she
took a trip to a camping
grounds just outside Boston.
She slept outdoors along with
the rest of her group. She
doesn’t remember being bitten
by anything. She is concerned
that her rash started small and
during the last few days has
been spreading. She has no
allergies. She had tried an
over-the-counter medication,
Benadryl, with no rash
improvement. Further
questioning revealed that she
slept on leaves she placed on
the grass.
 Signs/Symptoms???
 Differential
Diagnosis???
 Clinical
Diagnosis???
 Treatment???
 Write on the board
 Why?
 She
was given a minimal dose of
Tetracycline (broad spectrum). The
patient went home. Why?
 Two
days later, the laboratory results came
back. She was positive for Lyme Disease.
Her primary care physician alerted here
immediately and increased the dose of her
Tetracycline to fight the infection.
 Gram-negative
spirochetal
bacteria from the
genus Borrelia.
 They need a
vector to transmit
itself
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Lice
Ticks
 Good
early.
if detected
 Untreated,
can
cause many
problems, affected
many organs.
Brain.
 Nerves.
 Eyes.
 Joints.
 Heart.
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Speaker: Manpreet Singh
 Email: [email protected]

Speaker: Marizabel
Orellana
 Email: [email protected]

Speaker: Vanessa Correa
 Email: [email protected]
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