๐ฆ Clinical Case Challenge
๐ Source: Prometric โ Infectious Disease MCQs
๐ A 55-year-old man is evaluated in the emergency depart
ment after experiencing fever and chills yesterday evening
and bilateral arm pain and a rash on the upper extremities
upon awakening this morning. The patient ate raw oysters
from the Gulf" Coast 3 nights ago. He was recently diag
nosed with hemochromatosis.
On physical examination, die patient is ill appearing.
Temperature is 39.1 ยฐC (102.4 ยฐF), blood pressure is
85/50 mm Hg, pulse rate is 130/min, and respiration rate-
is 28/min. Skin findings of"die upper extremity are shown.
Cardiopulmonary examination findings are normal.
On abdominal examination, there is shifting dullness and no
guarding or rebound. No signs of meningealโฆ
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