Multisystem Processes & Disorders

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with a complex constellation of clinical findings:\n \n- Fever, headache, and constitutional symptoms for two weeks\n- A painless red lump on her right arm for the same duration\n- Recent foreign travel (to Costa Rica) just prior to the onset of the above symptoms\n \nThe physical examination turns up some more clues:\n \n- The lesion on the right arm is found to be erythematous, indurated and nontender, with central edema\n- Mild hepatomegaly is also present\n \nWhen the above signs, symptoms, and timeline are interpreted together, the diagnosis which immediately comes to mind is Chagas disease, which is endemic in Costa Rica.\n \nTherefore, her further evaluation should include a complete blood count, liver profile, and micr"}]}

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