Overview
T,B is a 16 y/o male in with parent c/f tick bite. Patient states bite tick was found on Sunday to his left upper back and was removed. He is unsure when it happened, but he recalls being out in the back yard couple of days prior. He denies fever, difficulty breathing or flu-like symptoms. He reports feeling tired since and muscle aches since morning. Exam reveals a red raise spot and expanding rash that is marked. Assessment negative for swollen lymph nodes. DX: Rocky Mountain Spotted Fever Rash secondary to tick bite. Patient is started on doxycycline 100mg BID x 14 days.