Case No. 189

How would you rate this case?






Case No. 189


What is the issue?

Let us know in a brief paragraph or sentence why you are flagging this case. Here are some other issues we, at CodeHealth, would like to know about:

  • Spam or misleading content
  • Violation of privacy
  • Unnecessary sexual content
  • Unnecessary violent content
  • Hateful or abusive content
  • Promotion of harmful acts


Flagged cases and users are reviewed withing 24 - 48 hours upon submission of a report. The report will be reviewed to determine whether the case and it's author (user) has violated CodeHealth's Terms of Use and/or Community Guidelines. Accounts are penalized for violations to either the Terms of Use and/or Community Guidlines. Repeated violations can lead to account termination.

Thank you for your report, it will be reviewed within the next 24-48 hrs.
Chief Complaint:

Tick bite

Published: Jan. 4, 2018
Author: Meropenem

A 35 year old male is eating breakfast while on a camping trip in upstate New York when he finds a deer tick embedded into his forearm that is minimally engorged with blood. He knows that the tick has been there for less than 12 hours because he just arrived at the campsite yesterday night. He immediately cuts his camping trip short and goes back to the city to seek medical evaluation as he is concerned about Lyme disease. On evaluation, his vital signs and physical exam are normal and he has no specific complaints. No rash is identified.


What is the next best step in management to address the patient's concern about Lyme disease?

  • Administer a single dose of oral doxycycline for prophylaxis
  • Administer a single dose of IV ceftriaxone for prophylaxis
  • Prescribe a 2-4 week course of doxycycline for empiric treatment
  • Prescribe a 2-4 week course of amoxicillin for empiric treatment
  • Admit for empiric treatment with IV ceftriaxone
  • Reassurance with no antibiotics
  • 3 cases left...
    You’ve attempted 0 of 3 cases this week
    Register for an account for unlimited access, for free!

    Case Set Name