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Hi anas𓆩🇯🇴𓆪
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Question:
A 45-year-old male patient presents to the clinic with complaints of fatigue and leg pain. He reports that two days ago, he was cleaning his attic and later noticed a painful sore developing on his leg. Upon examination, the sore appears necrotic with surrounding erythema.
Patient also mentions that he has felt increasingly weak since incident. Laboratory findings reveal following: white blood cell count (WBC) of 13,000/µL with an increased number of bands, hemoglobin (Hb) level of 7.2 g/dL, platelet count (Plt) of 90,000/µL, lactate dehydrogenase (LDH) level of 450 U/L, and bilirubin level of 3 mg/dL.
Direct Coombs test is positive. Based on clinical presentation & lab results, what is most likely diagnosis?
A. Loxoscelism
B. Community-acquired MRSA skin infection
C. Toxic Epidermal Necrolysis (TEN)
D. Stevens-Johnson Syndrome
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Hi Anna
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Hi Dr. Nidhi Singh
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Rat-bite fever (RBF)
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Questions:
A 32-year-old female presents to the clinic with complaints of a persistent fever, a widespread rash, and joint pain in multiple areas (polyarthritis). She mentions that five days before these symptoms began, she was bitten on her finger by a rat. A Gram stain of the affected area reveals pleomorphic gram-negative bacilli arranged in chains.
Which of the following conditions is the most likely diagnosis?
A. Brucellosis
B. Rocky Mountain spotted fever
C. Leptospirosis
D. Rat-bite fever (RBF)
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35/f stopped levothyroxine 60mcg 72h (3days) before blood sample
T3, t4 normal but TSH is 30
(Please guide whether levothyroxine dose should be increased or same)
Hi Selena
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