A very common exam question especially those going for the part 1 and 2a exam for MRCPThis 20 years old man who presented with this rash and 1st degree heart block.
What is the diagnosis and what is the treatment ?
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erm, not so sure, but would like to try...
this rash is erythema marginatum which suggestive of rheumatic fever, in which the patient may have prolonger PR interval.
Nope. Another try ?
hmm..I'll guess..
This rash is erythema migrans(bull's eye rash) associated with Lyme disease.The heart block is probably due to manifestation of the heart.
Treatment: antibiotics-doxycycline, if have later complications-cefotaxime or ceftriaxone.
Yup, good ! Erythema chronicum migrans - Favourite Part 1 and 2a MRCP question
this is chronicum erythema migrans of lyme disease associated with arthritis ,CNS involvement and heart arrhythmia or block
TTT is cefitrioxone, doxycycline
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