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__NOTOC__
__NOTOC__
{{Lyme disease}}
{{CMG}}


==Overview==
{{CMG}}; {{AE}} {{Anmol}}
The physical examination of lyme disease is necessary for the diagnosis. [[Fever]] and target shaped rash are commonly seen on physical examination.


==Physical Examination==
==Tables==
===Appearance of the patient===
{| class="wikitable"
Patients are usually well appearing in early stages, but as the disease progresses they may appear ill.
|+
 
!Diagnosis
===Vital signs===
!Lab findings
*[[Fever]] (in 15% of patients)
!
*[[Tachycardia]]
!
 
|-
===HEENT===
!
*[[Headache]]
!
*Regional [[Lymphadenopathy]]
!
*Facial deviation
!
*Dry eyes
|-
*Drooling of saliva
|
 
|
===Cardiovascular===
|
*[[Tachycardia]]
|
*[[S1]] and [[S2]] normal
|-
 
|
===Neurological===
|
*[[Dizziness]]
|
*[[Neck stiffness]]
|
*[[Numbness]] and [[tingling]] in extermities
|-
 
|
===Musculoskeletal===
|
*[[Arthralgias]]
|
*[[Arthritis]]
|
 
|}
===Dermatological===
*Target like rash
 
'''Images'''
<gallery>
Image:BullseyeLymeDiseaseRash.jpg|Common bullseye rash pattern associated with Lyme Disease.
Image:lymebite.png|Characteristic "bulls-eye"-like rash caused by Lyme disease.
Image:erythema chronicum migrans (Lyme Disease).jpg|Erythema Chronicum Migrans
</gallery>
 
<gallery>
 
Image: Borrelia07.jpeg| Right posterior shoulder region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by Borrelia burgdorferi. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
Image: Borrelia08.jpeg| Left lateral buttock of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
Image: Borrelia10.jpeg| Right hip and waist region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
Image: Borrelia11.jpeg| Posterior knee with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by the bacterium, Borrelia burgdorferi. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
Image: Borrelia14.jpeg| Medial aspect of the right calf of a patient who’d presented with what was diagnosed as Lyme disease. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
Image: Borrelia15.jpeg | Posterior right shoulder region of a patient who’d presented with the erythema migrans (EM) rash characteristic of what was diagnosed as Lyme disease, caused by Borrelia burgdorferi. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
Image: Borrelia17.jpeg | This Lyme disease patient presented with the signs and symptoms indicative of arthritic changes to his right knee due to a Borrelia burgdorferi bacterial infection. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
Image: Borrelia31.jpeg | Pathognomonic erythematous rash in the pattern of a “bull’s-eye”. Patient subsequently contracted Lyme disease. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
Image: Borrelia32.jpeg | Pathognomonic erythematous rash in the pattern of a “bull’s-eye”. Patient subsequently contracted Lyme disease. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
Image: Borrelia36.png|Facial palsy caused by an infection by the bacterial spirochete Borrelia burgdorferi. Patient was subsequently diagnosed with Lyme disease. <SMALL><SMALL>''[http://phil.cdc.gov/phil/home.asp From Public Health Image Library (PHIL).] ''<ref name=PHIL> {{Cite web | title = Public Health Image Library (PHIL) | url = http://phil.cdc.gov/phil/home.asp}}</ref></SMALL></SMALL>
 
</gallery>


==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Needs content]]
[[Category:Bacterial diseases]]
[[Category:Insect-borne diseases]]
[[Category:Lyme disease]]
[[Category:Zoonoses]]
[[Category:Spirochaetes]]
[[Category:Disease]]
[[Category:Infectious disease]]
[[Category:Dermatology]]
[[Category:Emergency medicine]]
[[Category:Intensive care medicine]]
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}

Latest revision as of 17:32, 14 January 2019


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2]

Tables

Diagnosis Lab findings

References

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