05-07-2014, 04:13 PM
A 23-year-old man presents to your office with a five day history of unremitting fever and right wrist pain. He denies a history of illicit drug use. Vitals are as follows: HR 118, BP 135/90, RR 20, T 101.9F. The patient is noticeably anxious. On physical exam, his right wrist and left elbow are both painful to palpation. No needle marks are visible. Small papular, non-pruritic lesions are noted on his back. Which of the following is the likely event that introduced the pathogen for this patient's presentation?
a. Airborne droplets
b. Fecal-oral transmission
c. Needle stick injury
d. Operative injury
e. Unprotected sexual contact
a. Airborne droplets
b. Fecal-oral transmission
c. Needle stick injury
d. Operative injury
e. Unprotected sexual contact