Case 3:
19 yo Chinese – multiple rash on the left upper lips 2 day fever. Rash is tingling sensation
appeared gradually and first episode, not painful non spreading, non pruritic and non
discharging.
DDx: Hand food and mouth disease, Cold sores (HSV)
HSV 1 – transmitted socially, HSV 2 – sexually transmitted but can infect the lips (Oral sex)
( how long does the lesion last?)
Sexual practices, partners, advice safe sex,
Case 2:
1.
2.
3.
4.
Amoxicillin only or Augmentin
First gen cephalosporin (cefazolin, cephalexin)
Azithromycin ( later stage – if amox and 1st gen cephalo don’t work)
Contraception, safe sex, sex education, social life – college, away from home, diet and
sleep, coping
Case 4:
Weight bear – to differentiate fracture
Extra pain or deformities?
Popping sound?