A 32-year-old woman visits her physician with complaints of feeling tired and stiff for the past 2 weeks. She reports that she recently returned from a 2-month-long solo hiking trip and thought the signs and symptoms resulted from her trip. However, within the past few days, she has developed pain in her joints, tendons, bones, and muscles 1.  The patient is unsure of when she was exposed to the infected tick. The physician decides to order the enzyme immunoassay (EIA), hoping the window is adequate for antibody production. The EIA results are positive. What is the physician’s next step? A. Make the Lyme disease diagnosis. B. Order a Western blot for confirmation.

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A 32-year-old woman visits her physician with complaints of feeling tired and stiff for the past 2 weeks. She reports that she recently returned from a 2-month-long solo hiking trip and thought the signs and symptoms resulted from her trip. However, within the past few days, she has developed pain in her joints, tendons, bones, and muscles

1.  The patient is unsure of when she was exposed to the infected tick. The physician decides to order the enzyme immunoassay (EIA), hoping the window is adequate for antibody production. The EIA results are positive. What is the physician’s next step?

A. Make the Lyme disease diagnosis.

B. Order a Western blot for confirmation.

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