A 30-year-old woman presents to a walk-in clinic in Vancouver with 3 days of muscle aches, joint pain and a mild headache. She returned 1 week ago from a hiking trip in the forests of British Columbia, where she removed an attached tick from her right posterior thigh 8 days ago. She is otherwise healthy, takes no medications, has no known drug allergies, is not breastfeeding, and a urine pregnancy test is negative. On examination, there is a single non-tender, well-defined 8 cm erythematous patch with partial central clearing at the bite site. There is no neck stiffness, no facial asymmetry, and the joints are not swollen. Lyme serology has been sent and results will take several days.
| Heart rate | 78/min |
| Respiratory rate | 14/min |
| Temperature | 37.6 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 118/72 mm Hg |
Question 1 of 29
Treatment is to be started today without waiting for the serology result. Which of the following are the most appropriate medication options?
Select 3. (0 / 3 selected)
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