Question: PATIENT: Joseph Greeson S: The Last Time I Saw This 29-year-old Male Was 6 Months Ago For His Annual Checkup. He Came In Today Stating That He Has Been Feeling Feverish 3 Days And Noticed Increased Redness On His Arm Last Night And This Morning. He Denies Joint Pain. He Explained That Yesterday He Was Playing With His Girlfriend’s New Dog And It Bit …

PATIENT: Joseph Greeson S: The last time I saw this 29-year-old male was 6 months ago for his annual checkup. He came in today stating that he has been feeling feverish 3 days and noticed increased redness on his arm last night and this morning. He denies joint pain. He explained that yesterday he was playing with his girlfriend’s new dog and it bit him on the right forearm. The dog is a stray and has had no shots, and the patient states that he believes he accidentally provoked the dog by getting too rough with it o: Temp 992 degrees, pulse 68, resp 20, weight 142. Right arm reveals four puncture wounds with secondary cellulitis around the area. The area is warm to the touch and is erythematous. A: Infected dog bite P: Patient is given 1 gram of Rocephin IM today. Follow up in 24 hours. A bandage was applied. He was given a rables immune globulin (Rig), human IM. Tylenol is recommended PRN for pain. The patient is given a prescription for Erythromycin 333 mg tid for 10 days.