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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for stiff neck, headaches and back pain

A 27-year old white female presented at the walking clinic of her local physician on August 15. On physical exam, the patient had a fever of 38.5C. She appeared fatigued, had tender joints, and complained of a headache, a stiff neck and a backache. The physician noticed a circular rash about 5 inches in diameter, with a bright red leading edge and a dim center in the form of a bull’s eye . The physician noted an irregular heartbeat. The patient complained of lack of ability to concentrate. I want to know 1.What is your best diagnosis of this case? 2.What features are critical to your diagnosis? 3.What further steps should be taken to clear up the problem? 2.What features are critical to your diagnosis? 3.What further steps should be taken to clear up the problem? The patient gave the following history: She is a graduate student in the wildlife program at the university in town. She was in the field for three weeks in Wisconsin during the months of May and June. She tracks small mammals in the field and studies their behavior. It had been a warm, wet spring and she complained of a large number of biting flies, mosquitoes and ticks in the area. She felt well until about 2 weeks after returning to her home. Since that time, many of her symptoms had progressed. She finally found that she could take it no more.
Mon, 17 Jun 2019
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General & Family Physician 's  Response
Hello,

As per your history, it may be due to nerve compression at cervical spine level.

For further assessment you may require MRI neck and nerve conduction studies after consultation.

For pain you can take tablet acetaminophen. Apply diclofenac gel or ointment locally. Heating pads will also help.

You may require tablet Pregabalin after consultation. Continue physical therapy.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shyam B. Kale, General & Family Physician
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Suggest treatment for stiff neck, headaches and back pain

Hello, As per your history, it may be due to nerve compression at cervical spine level. For further assessment you may require MRI neck and nerve conduction studies after consultation. For pain you can take tablet acetaminophen. Apply diclofenac gel or ointment locally. Heating pads will also help. You may require tablet Pregabalin after consultation. Continue physical therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician