A Photo Quiz to Hone Dermatologic Skills
For the past few days, a 63-year-old man’s lower leg has become painful, itchy, swollen, and red. The patient is afebrile and takes no medication. Another practitioner suspects an infectious cause and orders a complete blood cell count and bone films and a nuclear scan to rule out osteomyelitis. Pending the laboratory findings, a fluoroquinolone antibiotic is prescribed.
The patient comes to your office for a second opinion. What action(s) do you take?
A. Reassure the patient that there is no evidence of infection.
B. Recommend he undergo Doppler studies or a venographic examination to rule out deep venous thrombosis.
C. Change the antibiotic to a cephalosporin.
D. Examine and culture the toe webs for a possible infection.
E. Suggest no changes.
(Answer on next page.)