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Purulent sputum, dyspnea,rhonchi bilaterally. What kind of pneumoniacauses this kind of rash? Legionnaire's disease. Usually meansindustrial ventilation systems, convention centers. He's 12 years old. Send off a urine antigen and checkif he's joined the elks. Next? - Fungal.- Excellent. Maybe the lodge went spelunking. Chlamydia pneumonia. 12-year-olds don't have sex. Their mistake. That's it? Other possibilities? What if we're thinking aboutthis backwards? The rash came first,caused the pneumonia. Nice. Rickettsial. Tick bite. Nymphal ticks are out now.They're bloodthirsty little bastards. Rash would be more pustular. Not always,and there's only one rash, which fits. New Jersey,it's most likely lyme disease. All right. Let's keep him on fluids and the cefuroxime to be safe. Biopsy that rash. And take another history. Even if wedon't learn what's causing this, we definitely need to know if12-year-olds are getting any action
Full Transcript
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Purulent sputum dyspnea rhonchi bilaterally
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What kind of pneumonia causes this kind of rash
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Legionnaire's disease
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Usually means industrial ventilation systems
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convention centers He's 12 years old
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Send off a urine antigen and check if he's joined the elks Next
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Fungal Excellent
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Maybe the lodge went spelunking
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Chlamydia pneumonia
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12 year olds don't have sex
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Their mistake
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That's it Other possibilities
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What if we're thinking about this backwards
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The rash came first caused the pneumonia Nice
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Rickettsial Tick bite
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Nymphal ticks are out now They're bloodthirsty little bastards
00:00:37.828 --> 00:00:39.413
Rash would be more pustular
00:00:39.538 --> 00:00:41.498
Not always and there's only one rash which fits
00:00:41.582 --> 00:00:43.292
New Jersey it's most likely lyme disease
00:00:43.417 --> 00:00:45.794
All right Let's keep him on fluids
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and the cefuroxime to be safe
00:00:48.172 --> 00:00:50.979
Biopsy that rash
00:00:50.966 --> 00:00:54.997
And take another history Even if we don't learn what's causing this
00:00:54.178 --> 00:00:58.557
we definitely need to know if 12 year olds are getting any action
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Movie Summary
An antisocial maverick doctor who specializes in diagnostic medicine does whatever it takes to solve puzzling cases that come his way using his crack team of doctors and his wits.
