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32 y/o Caucasian female presents to community clinic with a chief complaint of fever, rash, malaise, and arthralgia with sudden onset beginning 4 days ago
HPI: Patient returned 6 days ago from a three month-long church mission to Cambodia, where she taught English. She states her diet was composed largely of chicken and rice, with coconut milk and purified bottled water.
HPI (Cont.)Patient states she developed a cough with yellow sputum 3 weeks ago and was treated with a tetracycline antibiotic. She denies any headache, dizzines, chills, night sweats, N/V, diarrhea, or hematuria. She also denies any sick contacts