28 yof presented to community health team today with the rash & hives pictured. The rash & hives affect her hands, arms, back, groin, and legs. She is experiencing itching, a burning sensation, and tingling in her arms and legs. Pt denies flu-like symptoms, fever, HA, N/V, dizziness, lightheadedness, no SOB or difficulty swallowing, no CP or abd pn, no diarrhea. The Pt states no new products used and helps rule out contact dermatitis. The pt states that it started out as tiny red dots and has progressed to what we see today. Pt has no allergies, is on no meds (except diphenhydramine OTC and cortisone cream OTC that she's been trying to relieve her symptoms - unsuccessfully). Pt has no PPMHx, has no symptoms of allergic reaction to foods. Lyme disease was suspected but no tick was found, nor does she have any s/s of the disease. What’s your dx?

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Urticaea

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Urticarial Rash

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Urticaria

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Urticaria

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? Urticaria rashes

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Urticaria

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Continue Tapering dose of prednisolone orally Clean with betadine lotion and apply calamine lotion. Steroid cream locally. Cap doxy 100 bd,tab NSAIDs tds to reduce pain and swelling. Deworming the pt.

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Urticaria? Inj Avil 2cc+inj dexona 2cc im stat Tab levocet 5 mg tds

? Urticarial rash

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@Dr. Mukesh Pawar - urticaria?

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