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This Concept Map, created with IHMC CmapTools, has information related to: rocky mountain spotted fever, rocky mountain spotted fever s/s chronic arthritis, profound fatigue, rocky mountain spotted fever s/s h/a, fever, anorexia, restlessness. 3rd day, rash appears- begins on extremities (wrists, palms, ankles, soles of feet) periorbital swelling may occur., rocky mountain spotted fever management Medication- doxycycline tetracycline may also be used, but less frequently b/c of tooth staining, rocky mountain spotted fever PIE spread through tick bites. usually april thru oct