Not All That Swells Ends Well

  • November 2019
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Not all that swells ends well - 60 y/o rushed to ER bec of inability to open jaw. He reports that a wekk ago he was gardening and hurt his finger on a rose thorn. He applied penicillin powder on the wound but noticed a painful red streak on his forearm a day later. Temperature was 38.5 deg C BP170/90, RR 23/min, PR 110/min. he was unable to open mouth, neck not rigid, and muscle strength was 5/5 on all extremities. The right index finger was erythematous and swollen with a reddish linear lesion on the anterior surface of the right forearm. Guide q’s: 1. wat cond’n may explain the skin lesion of this patient? 2. wat is the management of this lesion? 3. wat additional problems does this patient have? 4. wat would be your management of this second problem?

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