background:
Your team is deployed to Algeria. You are running a field hospital for the local population. The following case presents itself.
- 14 yr old BM
- vitals wnl except temp of 100.5 F
- pt appears much smaller physically than the typical villager for his age
- reported malaise
- history of prior episodes similar to current
- cc of deep pain in his legs which has been prevalent since early childhood
- pt has several small ulcerations on his shins from insect bites
Visual exam reveals the following: