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Author: David Owen

Table of contents

Slide 2
Definition
Slide 4
Slide 5
Slide 6
The bacterium
Slide 8
Slide 9
Lyme disease prevalence
Slide 11
The Case
Slide 13
Slide 14
Slide 15
Reported symptoms of Mr. Q.D.
Physical examination findings August 2004
Investigations
Consultant Physician Opinion
My opinion
Slide 21
Slide 22
Slide 23
Fallon, B A in Lyme Disease: A Neuro-psychiatric Illness
Diagnosing sero-negative Lyme disease
History of Tick Bite
Erythema Migrans
Slide 28
Diagnosis continued- Aspects of Symptoms of Lyme disease
Symptoms of Lyme disease
Core symptoms
Slide 32
Other symptom clues
Physical signs
Laboratory findings
Response to treatment
Should Lyme Disease be partly a diagnosis by exclusion?
Proving a case of sero-negative LD
The Polymerase Chain Reaction (PCR) test
Slide 40
Slide 41
Levels of diagnostic certainty
Slide 43
Limitations of PCR testing
Importance of patient choice and autonomy
Treatment of Lyme Disease
Case progression of Mr. Q.D.
When should treatment be stopped?
Treatment failure in Lyme disease
Is Lyme disease always polymicrobial?
The way forwards
The way backwards
Examples of dogma
Slide 54

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