Quote:
Originally Posted by Trapper John
Thanks Doc. But I remembered (takes a while sometimes for the connections to be made) why this is important in a patient presenting with a low-grade fever & productive cough. This area of the world is also endemic for what I am thinking and if correct this is a medical emergency and can get ugly fast.
I want to sit back and see what else is revealed from the Hx and PE before I say what I am thinking.
I have only one question when we get to the PE - does the rash blanch when pressed with a glass?
When you say "not really" to the headache question - what does that mean? I take it to mean yes, but low grade. If so, how long?
When did the rash appear? (OK, it was 2 questions)
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Gotcha - I'm tracking your line of thought. 
Will have to see how this one develops - could go a few directions.
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