A child is brought to the clinic with a fever, headache, malaise, and a red, annular macule surrounded by an area of clearing and a larger, erythematous annular ring. The child complains of itching at the site. What will the primary care pediatric nurse practitioner do to determine the diagnosis?

Question

Quizplus · Accepted Answer

The symptoms described are consistent with Lyme disease, which is transmitted through tick bites. Asking about recent tick bites can help confirm or rule out this diagnosis. Skin culture, blood cultures, and serologic testing may be helpful in diagnosing other infections, but are not specific for Lyme disease.

A Child Is Brought to the Clinic with a Fever