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28 YRS female patient with H/O polysubstance abuse comes to ER with 3

days of

Jaw pain

Subjective fever

Nausea

Myalgia

Non bloody diarrhea

Palpitations
PMH: IV Heroin use * 10 bags everyday, last use 2 days ago.
PSH: Nothing significant
Allergies: NKDA
Meds: None
Social: Lives with boyfriend, injects heroin daily. Smokes cigg, Alcohol

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