A 10-year-old presents with a tick bite. The parents report that the child was playing outside two days prior

A 10-year-old presents with a tick bite. The parents report that the child was playing outside two days prior and came back inside the house with a tick on their leg. The parents immediately removed and destroyed the tick, but the child has reported itching in that area ever since. The child’s left thigh is mildly excoriated, but there is no obvious rash. The child appears otherwise healthy. Which of the following signs of Rocky Mountain Spotted Fever should the parents watch for? I. Irregular rash which spreads outward, leaving a clear center II. Myalgia III. Arthritis IV. Headache V. Morbilliform rash starting on the hands and progressing inward VI. Neurological signs such as odd behavior or nerve palsy A. I, II, IV, V, VI B. I, II, V, VI C. I, II, III, IV, VI D. II, III, IV, V, VI

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