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    Nur 315 paediatrics and maternity proctored exam

    A child comes to the clinic with a complaint of a rash after a tick bite. Lyme disease is suspected. Which assessment finding would be seen with Lyme disease?

    Explanation & Rationale

    Rationale: A. A necrotic lesion is not typical of Lyme disease; this may indicate another type of infection, like spider bite or cellulitis. B. Lyme disease often presents with erythema migrans, a target-like or bull's-eye rash with central clearing and a red outer border around the tick bite. C. A diffuse rash two months after exposure is not a common presentation of Lyme disease. Later symptoms include joint pain, neurological issues, or cardiac signs. D. A linear rash of papules and vesicles that appears within 1–3 days is more typical of contact dermatitis, such as poison ivy, not Lyme disease.

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