Journal of Urgent Care Medicine

The Most Trusted Insight in Urgent Care Medicine

Username:  Password: 
Follow Us
Images in Urgent Care Challenge
   November 10, 2008   Presentation
Figure 1
Click here to isolate image
Sign Up
* Click this banner and then choose "Free Digital Edition" - You'll automatically be registered for these challenges.



The patient is a 56-year-old man who emigrated from Mexico to Texas two months ago. He first presented about two weeks ago with a dry cough, chest pain, fevers, and night sweats. Chest x-ray showed a focal consolidation. He had received BCG vaccination as a child, so a PPD was not placed. He was started on isoniazid, rifampin, and ethambutol for tuberculosis.


Now, he presents complaining of the same symptoms, plus a rash that erupted approximately one week ago, after starting the medications about a week prior.


On examination, you find he now has widely distributed dark red plaques that he states are very itchy.


You order another chest x-ray, which looks the same as the previous one.


View the images and consider what your next steps would be.


Click on the button below to see the resolution of the case.
Resolution
Images in Urgent Care Challenge Home
JUCM Urgent Care Challenges are designed to provide timely and practical tips on issues that Urgent Care clinicians see on a regular basis. Invitations to the latest JUCM Urgent Care challenges are emailed to interested participants on a regular basis, and past challenges are archived on the www.jucm.com website. If you have interesting material or questions to submit for future challenges, or general comments, please email .
UCAOA




©2006-2014 Braveheart Group, LLC.
DISCLAIMER: The Journal of Urgent Care Medicine (JUCM) makes every effort to select authors who are knowledgeable in their fields. However, JUCM does not warrant the expertise of any author in a particular field, nor is it responsible for any statements by such authors. The opinions expressed in the articles and columns are those of the authors, do not imply endorsement of advertised products, and do not necessarily reflect the opinions or recommendations of Braveheart Publishing or the editors and staff of JUCM. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested by authors should not be used by clinicians without evaluation of their patients' conditions and possible contraindications or dangers in use, review of any applicable manufacturer's product information, and comparison with the recommendations of other authorities.