An 8-year-old child comes to the physician’s office complaining of swelling and pain in the knees. His mother says, "The swelling occurred for no reason, and it keeps getting worse." The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?
When investigating a potential case of Lyme disease, it is important to ask about symptoms that are commonly associated with the condition. These typically include headaches, malaise, sore throat, fatigue, anorexia, stiff neck, generalized lymphadenopathy, splenomegaly, conjunctivitis, abdominal pain, and cough. Therefore, questions related to headaches, malaise, and sore throat would be relevant to include in the initial history to help establish the diagnosis.
B. You may have heard the term "chronic Lyme disease." Some people use the term to refer to long-term symptoms they think may be linked to an earlier case of Lyme disease. But that term isn't well-defined. Research has found that these symptoms aren't related to ongoing illness caused by borrelia bacteria. Research also shows that continued use of antibiotics doesn't improve these symptoms. If you have new health concerns or continuing health problems after Lyme disease, talk to your provider. Symptoms may be due to many potential causes. Your provider can help you figure out the cause of your symptoms and find the right treatment for you.
Answer - A
Answer b