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A Summary On The New York

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Chief Complaint
J.R. is a 24 y/o male journalist living in upstate New York. He came to the clinic today complaining of flu-like symptoms with muscle achiness and joint pain that has progressively gotten worse over the past 10 days. J.R. also states that he has a difficult time gripping his pen when writing his column for Outdoor Life Magazine.

PMH: No hx of previous diseases. Pt recently diagnosed with mild HTN. Up to date with all immunizations, including a tetanus shot nearly 3 years ago.
Social HX: Single living alone. Spends many weekends camping in the mountains of upstate New York, brainstorming for his column.
Family History: HTN, Diabetes, Testicular Cancer,

ROS
• HEENT: o Complaints of a stiff neck
• Cardiac: o No feelings …show more content…

burgdorferi.
• Western Blot o Positive for antibodies to several proteins of B. burgdorferi.

Primary Diagnosis
Lyme Disease due to being infected with the spirochete Borrelia burgdorfer. Resulted from most likely being bitten by a tick while camping in the mountains of upstate New York; a common place for ticks to live.

Pathophysiology
Lyme disease is a zoonotic, vector-borne disease transmitted by the Ixodes tick. Ticks are blood-sucking arthropods that are found particularly in woods, fields, parks, and gardens. They attach to the human body and embed themselves in the skin to suck blood from the source of its host; most commonly deer and humans. They are found typically in the Northeastern region of the United States, and Northern Hemisphere world-wide in the summer season. Once

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