Tick Bite

Question 0

Rocky Mountain Spotted Fever

Answer 0

Caused by Rickettsia rickettsi

Question 1

RMSF

Answer 1

Rocky Mountain Spotted Fever

Question 2

Rocky Mountain Spotted Fever

Answer 2

Wood tick or dog tick

3-14 day incubation period

Question 3

Rocky Mountain Spotted Fever

Answer 3

Rash begins on wrists
- pink, blanchable macules
- generalized in 6-18 hours
Fever
HA
Myalgia

Question 4

Rocky Mountain Spotted Fever Tx

Answer 4

Doxycycline

Question 5

Lyme Disease

Answer 5

Caused by Borrelia burgdorferi

Question 6

Lyme Disease

Answer 6

Ixodes sp. tick

Question 7

Lyme Disease

Answer 7

Erythema (chronicum) migrans 
- "Bull's eye"
Weeks to months
- cardiac 
- neurological
- rheumatologic

Question 8

Lyme Disease Tx

Answer 8

Serology not helpful

Doxycycline 100mg po bid for 21 days