A 60-year-old female presents to the emergency department reporting a 3-4 day history of fever, vomiting, diffuse arthralgias, and rash. Symptoms developed after returning home from a fishing trip in Missouri with her husband. Vital signs are remarkable for a temperature of 101.2°F though otherwise within normal limits. Physical exam is notable for a maculopapular rash most prominent on the wrists and palms, as well as reported pain with palpation of the major joints, including the knees and shoulders. She reports some mild upper abdominal pain though has had no nausea, vomiting, diarrhea, or constipation.
Fever are many types
Fever ( covid 19)
Fever ( viral infection)
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