Welcome to the American Family Physician podcast for the October 1st, 2016 issue.

I'm Steve.

I'm Kalina.

And I'm Jake.

We are residents and faculty, mostly residents of the University of Arizona College of Medicine Phoenix Family Medicine Residency. This episode of the podcast,

we're going to discuss emerging vector-borne diseases, stretching, acute bronchitis, poems, fibromyalgia, and tachrolymus.

The opinions expressed in the podcast are our own and do not represent the opinions of the

American Academy of Family Physicians, the editor of American Family Physician or

Banner Health. Do not use this podcast for medical advice. Instead, see your own family doctor for

medical care.

We're on for medical advice. Instead, see your own family doctor for medical care. Our first feature article is Emerging Vector-Vector-Vector-Betterization.

Our first feature article is Emerging Vector Born Diseases from Dr. Huntington, Allison, and Nair from South Dakota and West Virginia.

That's right.

It's hot topic time.

And there are a few new recommendations on emerging vector-borne diseases.

So let's jump into this timely review. Kalina, can we just talk about Zika, please? That's what the, that's what the

listeners want to hear about. We'll get there, Jake. Okay. But when it comes to vector-borne viruses,

there are a few others we need to highlight briefly. In general, think of West Nile with its flaccid paralysis, dange, aka breakbone fever because of its

crippling myalgas and arthralgia's, and chicken guinea typically affecting smaller joints.

Diagnosis of any of these is clinical, but remember they can all present with abrupt onset

of fever, arthralgia, myalgia, and rash. So put them all on your differential if a patient

walks into your office with these symptoms. Sounds really tough to tell these guys apart. Big time.

...