(BMJ) - A 17 yo girl presents with fever, left sided abdominal pain, no urinary symptoms, WBC of 3.7 x 10^9/L, raised AST of 87 U/L, and negative UA. She developed this rash 24h after starting treatment with piperacillin and tazobactam. What is the diagnosis?
Toxic shock syndrome
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Mediterranean spotted fever
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Varicella zoster (chicken pox)
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Pelvic inflammatory disease
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Epstein-Barr virus (EBV) infection
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(BMJ) - A 70-yo man presented with confusion, tremor, leg cramps 4 months after being bitten by an insect in his suburban backyard. This rash developed then cleared. Exam: MMSE 20/30, tremor. Labs: SIADH, elevated ESR. CT and MRI were normal. What is it?
Pityriasis rosea
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Sarcoidosis
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Tinea corporis
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Hansen’s disease
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Lyme disease
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Repeated microtrauma from fore-aft foot movements in ski boots led to subungual hematoma and onycholysis. Three months post ski trip, R hallux toenail turned green, surrounded by paronychia. Similar green coloration is seen on the agar plate. What is it?
Lymphedema discoloration
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Tinea unguium fungal infection
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Chloronychia (Pseudomonas aeruginosa)
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Green heme pigments
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Green nail polish
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A 54-yo male presented with a flare of Crohn disease. One week prior, he noted a painful red rash on his face, neck, and shoulders. Exam: tender plaques and pustules with surrounding erythema. Labs: WBC 15 K/uL and elevated CRP. What is it?
Pyoderma gangrenosum
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Flea bite papular urticaria
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Sweet’s syndrome
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Gluten sensitive dermatitis herpetiformis
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Erythema nodosum
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