Approach to skin and soft tissue infections Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 45-year-old man presents to the emergency department for evaluation of severe pain in his right leg. He first noticed redness in his right leg yesterday, which is now swollen with severe, excruciating pain. This morning, he had a fever and chills, which prompted him to seek urgent care at the emergnecy department (ED). Past medical history is significant for morbid obesity (body mass index > 35 kg/m2) and type 2 diabetes mellitus (T2DM). He has been prescribed insulin for his T2DM, but he has not been taking it consistently during the past several months. His most recent HbA1c was 9.2%. Temperature is 38.6°C (101.5°F), heart rate is 126/min, his blood pressure is 92/50 mmHg, and respiratory rate is 18/min. Physical examination of the right leg reveals erythema, edema, and palpable crepitus extending from the distal thigh to the mid-calf. Laboratory studies are pending. Computed tomography (CT) with IV contrast of the lower extremities shows extensive soft tissue edema of the right lower extremity with air tracking along the fascial plane of the superficial posterior compartment in the right lower leg. Which of the following is the most appropriate management?
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