Cellulitis: The Daily PANCE Blueprint
A 42-year-old male with a history of diabetes presents the ER with a “bad rash” on his left thigh. He said he had previously gotten a bug bite there. He is febrile (102.2F), tachycardic (110 bpm), and hypotensive (80/50 mmHg). On physical exam, you notice a 2-inch erythematous circular lesion that is warm to the touch. Which of the following is the best next step in the management of this patient?
A. Initiate IV antibiotics and fluids
B. Surgical consult for amputation
C. Outpatient dermatology referral
D. Order venous ultrasound of the leg
E. Send home on oral antibiotics
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Dermatology ⇒ Dermatologic Infectious diseases ⇒ Bacterial Infections ⇒ Cellulitis
Also covered as part of the Family Medicine EOR, Emergency Medicine EOR, and General Surgery EOR topic list
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