Patient with a history of antibiotic treatment for 10 days a | Figure 1

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Patient with a history of antibiotic treatment for 10 days associated with fever, abdominal pain and #Diarrhea

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20 year old female, first image = 5 days ago. Second image = today, after 5 days of clarithromycin. Ideas/opinions?!


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19 mo old healthy child on no meds daily was dx with strep and on 10 days of amox and cetirizine prior to rash development . Itchy otherwise child is playful no fever and cbc and cmp stable . Initially started with feet and hand swelling which resolved quickly . Prednisone decreased new lesions but initially lesions are elevated red and then become purple and flat . No tenderness . Both meds have been d/c for over 5 days. Pt is only in prednisone . All vaccines utd no travel .


Hand scratched and bitten by two cats only a few hours ago, now the hand is extremely painful on active and passive movement with swelling, what is the NOT TO MISS diagnosis and what is the next best course of action?\

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