Lyme Dz

Question 1

the 3 stages of lyme

Answer 1

early localized
early disseminated
late persistent

Question 2

90% of early localized Lyme starts with this sign 1 week after bite

Answer 2

erythema migrans

Question 3

how does erythema migrans appear

Answer 3

spreads over the span of several days
erythema with central intesification
usually in areas of tight clothing

Question 4

sx of early localized lyme

Answer 4

flu-like symptoms

Question 5

length of early localized lyme symptoms

Answer 5

resolves in 3-4 weeks….but that doesn’t mean it’s well

Question 6

systems affected by early disseminated and late persistent lyme infection

Answer 6

skin, CNS, musculoskeletal

Question 7

constitutional sx of early disseminated lyme

Answer 7

persistent fatigue, HA, nuchal rigidity,

Question 8

musculoskeletal symptoms of early disseminated lyme

Answer 8

migratory joint pain …resolves in a few days

Question 9

late persistent lyme dz infection occurs how long after initial infection

Answer 9

months to years

Question 10

musculoskeletal symptoms of late persistent lyme

Answer 10

chronic synovitis, chronic arthritis

Question 11

subacute encephalopathy with memory loss, mood change, and sleep disturbances is a sign of what stage of lyme dz

Answer 11

late persistent

Question 12

how to SCREEN for lyme

Answer 12

ELISA

Question 13

how to CONFIRM lyme

Answer 13

Western Blot

Question 14

how to treat neurological Bell’s Palsy, Erythema migrans

Answer 14

doxycycline 100 mg bid 2-3 weeks

Question 15

how to treat subacute encephalopathy with memory loss, mood change, and sleep disturbances

Answer 15

ceftriaxone IV qd 2-4 weeks