Hoag Stephen D, Chung Karen
St. Joseph's Hospital Health Center, Syracuse, NY, USA. Email:
Ole Health, Fairfield, CA, USA.
J Fam Pract. 2017 Apr;66(4):E7-E9.
The patient was nauseous, and had been experiencing headaches, generalized weakness, and fatigue. Her physical exam revealed a maculopapular rash on her trunk and upper extremities. She had tenderness and pain, as well as decreased range of motion in her ankles, knees, and wrists. The patient had no erythema, swelling, petechiae, or bruising. She had a past medical history of Graves' disease and had received all of her childhood immunizations.
患者感到恶心，且一直有头痛、全身无力和疲劳的症状。体格检查发现她的躯干和上肢有斑丘疹。她的脚踝、膝盖和手腕有压痛和疼痛，活动范围也减小。患者没有红斑、肿胀、瘀点或瘀伤。她既往有格雷夫斯病病史，并且已接种了所有儿童疫苗。
