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Harrison's coffee with Starbucks Q: Good morni - triplehelix
#11
mosquitoes are part of the food chain so they do serve some good... lol
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#12
A...
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#13
A.
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#14
The answer is A.

This patient has acute dengue fever acquired from a mosquito bite while he was in the Caribbean. The 1-week incubation and symptoms including severe myalgias, petechiae, and epistaxis are typical. Diagnosis is best made by IgM ELISA or paired serology. The disease may progress into a case of hemorrhagic fever with severe shock and gastrointestinal hemorrhage. The differential would include rickettsial illness transmitted by a tick. Acute HIV seroconversion can present with fever, adenopathy, and myalgias; however, the HIV PCR would be postitive with symptoms (although the HIV antibody test would be negative). Exposure to rodent urine could cause leptospirosis.
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#15
aa
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