system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 27-year-old man visits the office with complaints of pain in his lower limb muscles and joints. He cannot remember exactly when it started, but it intensified after his recent hiking trip. He is a hiking enthusiast and mentions having gone on a recent trekking expedition in Connecticut. He does not recall any particular symptoms after the hike except for a rash on his left calf with distinct borders (image provided in the exhibit). The patient does not complain of fever, chills or any changes in his vision. His vital signs show a blood pressure of 120/70 mm Hg, a pulse of 97/min, and respirations of 18/min. There is tenderness in his left calf with a decreased range of motion in the left knee joint. No joint effusions are noted. Which of the following would be the next best step in the management of this patient?
assistant
Start doxycycline therapy