Vicki Parikh, MD

Board Review: Attack of the Bugs

60-year-old female presents to the emergency department with fevers, chills, and decreased appetite. Patient also complaining of L leg pain that she noted 1-day prior. Patient with history of diabetes, breast cancer- currently getting chemotherapy, and hypertension. Vitals as follows: T: 100.3 (O), HR: 123, RR: 18, SpO2: 98% on RA. On physical exam, you notice a scab on the dorsum of the foot with surrounding erythema with bullae at the edge of the wound that patient did not have prior to coming to the hospital.

Board Review: Attack of the Bugs


A 25-year-old male presents to the ED with fever associated with severe arthralgias and a retro-orbital headache for the past 3 days after returning from a trip to Thailand. On exam he appears flushed and uncomfortable. Labs are notable for thrombocytopenia. What is the treatment for this diagnosis?

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