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Lyme disease is described in this Picmonic by the Lime-castle, where the ticks live, and the revolt going on outside, threatening to overthrow this rich family. Lyme disease is transmitted by ticks, and is vector-borne, not person to person. This is represented by the ticks presenting their new-born to the townspeople. Signs of disease include flu-like symptoms, the thermometer and ice-bag on the guard protecting this castle. The townspeople see this guard&rsquo;s sickness as an opportunity to overthrow the kingdom, and this bullseye with red migrating-ducks tells them where to attack, representing the bull&rsquo;s eye rash, known as erythema migrans that can occur with this disease. Patients have joint pain and stiffness, the joint pain-bolt and stiff-board, who is holding onto the castle as a means to let the townspeople in. Facial paralysis also occurs, shown as the face in a wheelchair, who wants to use this board to get across. He is being pushed by the ABX-guy, who represents that antibiotics, like Doxycyline and ceftriaxone are used to treat Lyme disease. Furthermore, patients can avoid disease with prevention, like long sleeved clothing and bug repellant, shown as the guy wearing long sleeves and using bug repellent. So let&rsquo;s summarize Lyme disease. It is transmitted by ticks, as it is vector-borne. Patients have flu-like symptoms, and a bull&rsquo;s eye rash called erythema migrans. They can get joint pain and stiffness, along with facial paralysis. Considerations of treatment include antibiotic treatment and prevention techniques.

educational

story

lime castle.png

lime disease.png

Lime-castle

Lyme Disease

Brain Inflammation

Lyme disease

Nursing Care and Pathophysiology for Lyme Disease

Nursing Care Plan for Lyme Disease

Mechanism

tick baby.png

Ticks with New-born

Transmitted by Ticks (Vector-borne)

Which of the following transmission routes is most likely associated with Lyme disease?

Signs and Symptoms

thermometer and ice bag.png

Thermometer and Ice-bag

Flu-like Symptoms

Which of the following group of symptoms is most likely to be seen in patients with Lyme disease?

bull's eye rash.png

Bullseye with Red Migrating-ducks.

Bulls Eye Rash (Erythema Migrans)

During skin inspection, which of the following physical findings is most likely to be seen in patients with Lyme disease?

joint pain bolt and stiff board.png

Joint Pain-bolt and Stiff-board

Joint Pain and Stiffness

Which of the following symptoms is most likely associated with Lyme disease?

face in wheelchair.png

Face in Wheelchair

Facial Paralysis

Which of the following conditions is most likely to be seen in patients with Lyme disease?

Considerations

abx guy.png 

ABX-guy

Antibiotics

Which of the following is most likely recommended in a patient with erythema migrans and a positive history of outdoor activities?

prevention.png

Wearing long&nbsp;sleeves&nbsp;and using bug repellent

Prevention

What is most important when counseling a patient at risk of developing Lyme disease?

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

First Aid for the USMLE Step 1 2017

First Aid for the USMLE Step 1 2018

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Master The Boards USMLE Step 2 CK, 3E

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

NP - Certification Examination and Practice Preparation 4th Edition, Fitzgerald

PANCE Prep Pearls: 1st Ed, 2014

PANCE Prep Pearls: 2nd Ed, 2017

STEP-UP to USMLE Step 2 CK, 4th Ed

This Picmonic was reviewed for academic accuracy and the quiz was improved.

Once upon a time, in a far a place in the woods a glorious Lime-castle plays home to a royal family of ticks. One day, the royal family welcomed a new family member; the royal tick prince was born. So, the king walks out on to the balcony of the castle to show off his new-born child. However, he is unaware that his citizens secretly hate the family of blood sucking ticks and are plotting to assassinate them. They wait until royal castle guard gets the flu and when they see that he has a Thermometer in his mouth and a Ice-bag on his head, they see that this is their chance. They sent a flock of Red&nbsp;Migrating-Ducks to place a Bullseye in front of the royal family of ticks to help them aim. They also had the drawbridge drop down like a Stiff-board. Pain-bolts shot through it&rsquo;s Joints as it took on the pressure of someone rolling on to him. It was the evil Face in Wheelchair who orchestrated the whole assassination plot. He was being pushed by the ultimate hitman, ABX-guy. He came prepared too. Wearing long sleeves, to protect him from tick bites, he aims and shoots deadly bug repellent towards the family of ticks. After they defeated the royal family, the face and ABX-guy roll off into the sunset and lived happily ever after. The end.

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