1. Problem-Based Learning Simulation Similar to the TV Show “House”

2. Case • Anyone want to read this?  • A 30 year-old white female lab technician who lives in Boston, MA presents with an upper respiratory infection, fever, chills, and a rash on her thigh. A week ago, with a group, she took a trip to a camping grounds just outside Boston. She slept outdoors along with the rest of her group. She doesn’t remember being bitten by anything. She is concerned that her rash started small and during the last few days has been spreading. She has no allergies. She had tried an over-the-counter medication, Benadryl, with no rash improvement. Further questioning revealed that she slept on leaves she placed on the grass.

3. The RASH

4. Let us discuss • Signs/Symptoms??? • Differential Diagnosis??? • Clinical Diagnosis??? • Treatment??? • Write on the board  Why?

5. Case (cont…) • She was given a minimal dose of Tetracycline (broad spectrum). The patient went home. Why?

6. Case (cont…) • Two days later, the laboratory results came back. She was positive for Lyme Disease. Her primary care physician alerted here immediately and increased the dose of her Tetracycline to fight the infection.

7. What is lyme disease?

8. caused by bacteria, borrelia • Gram-negative spirochetal bacteria from the genus Borrelia. • They need a vector to transmit itself • Lice • Ticks

9. carried BY TICKs

10. TICK SIZE VARIES, BUT THEY ARE REALLY, REALLY SMALL

11. LYME DISEASE OVERVIEW

12. HUMAN CYCLE

13. Lyme disease overview cont.

14. lifecycle

15. Treatment outcome – The good • Good if detected early.

16. Treatment outcome – The bad • Untreated, can cause many problems, affected many organs. • Brain. • Nerves. • Eyes. • Joints. • Heart.

17. LYME DISEASE TOTAL CASES

18. PREVENTION

19. Your turn for Probing Questions??? • Speaker: Manpreet Singh • Email: msing001@ucr.edu • Speaker: MarizabelOrellana • Email: morel001@ucr.edu • Speaker: Vanessa Correa • Email: vcorr001@ucr.edu