Question: An 83 Yo Female Who Is A Resident In A Skilled Care Facility Is Found To Have An Area Of Erythema (redness) And Tenderness With Increased Skin Temperature On The Linner Thigh. She Is Afebrile (without Fever) And No Lesions To The Area Are Noted. 1) What Is Your Initial Impression (diagnosis)? List Three Medical Historical Factors That Are Needed Before …

An 83 yo female who is a resident in a skilled care facility is found to have an area of erythema (redness) and tenderness with increased skin temperature on the Linner thigh. She is afebrile (without fever) and no lesions to the area are noted. 1) What is your initial impression (diagnosis)? List three medical historical factors that are needed before you begin treatment. 2) 3) 4) Two days later on examination of the area, increased edema (swelling) and erythema are noted. A small 1.5 cm abscess is also noted. 5) What should be done concerning the abscess at this time? 6) What two lab studies should be performed at this time related to #5? The lab results are as follows: *Many gram + cocci/coagulase +: most are in clusters with several chains *Sensitivity Report (R = resistant, S-sensitive) Penicillin-R Sulfa-R Ciprofloxicans Vancomycin-S Erythromycin – R Gentamicin-R 7) What is your diagnosis at this time? Before continuing treatment what other lab studies are needed? 8) 9) 10) What antibiotic would you place the patient on at this time? 11) What must be done with this patient given her diagnosis and place of residence?