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Doc Detective: The Hiker


Posted: 9/21/2017
Doc Detective: The Hiker

Healthcare Providers are highly trained to be skilled at making a quick diagnosis and determining a course of treatment for a patient, all within a medical visit that is usually a half hour or less.  Sometimes, they are even seeing the patient for the first time.  Do you think you would be able to make the diagnosis?  We will let you play the role of the doctor and see if you can make the correct diagnosis. 

Patient X

Patient X is a Caucasian male age 42. He is 5' 9" tall and weighs 185 lbs. He lives in a rural community in upstate New York.  He has no wife or children and lives alone with his dog, a Beagle.  He has never smoked.  He drinks less than 14 alcoholic beverages per week, occasionally drinking during the work week, but usually only drinks on weekends.  He uses marijuana occasionally but does not use any other illegal drugs.  He has not used marijuana in the last 12 months.  The patient has not been sexually active since his last doctor visit.  The patient eats a typical American diet consisting of too much red and processed meats and too little fruits and vegetables. The patient exercises regularly, running or biking daily, and hiking every weekend with his dog.

Medical History

The patient is not currently taking any prescription medications.  He rarely takes over the counter medication for pain but usually takes an over the counter medication to alleviate cold symptoms.  Patient thinks they had one cold this year, but isn't sure.  The patient is up to date on immunizations.  They have a healthy BMI, blood pressure is normal.  Cholesterol is slightly high, but within the normal range and has not changed much in the last five years.  The patient has no chronic illnesses.  He had surgery once as a child to repair a broken bone.  He had a biopsy done on a mole 5 years ago that was thought to be potentially cancerous.  The results of the biopsy showed no cancer present.

Present Symptoms

The patient is being seen for flu like symptoms.  The patient has been achy and sore for close to a week and has felt more fatigued than normal.  The patient is complaining of headaches, which have also persisted for close to a week.  The patient does not have any chest congestion or nasal congestion, but the patient does have a low grade fever of 99.9°. The patient also has a circular rash on their abdomen.  The rash is red in appearance and round. The patient has not had a flu shot yet this year.

Do you think you can diagnose the patient? Check us out on Facebook to find out if you made the correct diagnosis!


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