Herbert Marshall is a 56-year-old man admitted to the hospitalwith a severe case of cellulitis. Mr. Marshall has a history ofchronic tinea pedis, which he usually treats with over-the-counter(OTC) medications. When he awoke yesterday, his left foot waserythematous, hot, and tender. He applied an OTC antifungal cream,hoping that would improve his condition. However, today hepresented at the clinic complaining of throbbing pain in his foot.The symptoms of inflammation had worsened, including increasederythema and edema of the foot and lower leg. After completing aphysical exam, the physician made a diagnosis of cellulitis andadmitted Mr. Marshall to the hospital for intravenous (IV)antibiotic treatment.

Cellulitis is an infection of the skin, usually caused bystreptococcal or staphylococcal bacteria entering through a breakin the skin. Common symptoms include erythema, heat, edema, andtenderness. Treatment for mild cases is oral antibiotics. Severecases usually require IV antibiotic therapy. Surgical debridement,medical removal of dead tissue, may also be necessary.

Mr. Marshall’s foot has become more

red

blue

dry

yellow

Question 2

Mr. Marshall’s foot has also become more

hardened

bruised

swollen

scaly

Question 3

Mr. Marshall has a history of

dry, flakey skin

blackheads

loss of skin pigmentation

athlete’s foot

Question 4

Cellulitis is usually an infection of the

hair

skin

fingernails or toenails

glands

Question 5

Cellulitis is caused by

bacteria

a virus

poor hygiene

exposure to cold temperatures

Question 6

Cellulitis may be treated with

surgery

oral antibiotics

intravenous antibiotics

all of these

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