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MedicalCareer版 - [CK NBME form 4] diagnosis please?
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1 (共1页)
f****i
发帖数: 129
1
A previously healthy 32-year-old woman comes to the physician because of a 2
-day history of fever and an area of swelling and redness on her right
forearm. Six hours ago, she noticed red streaks extending from her forearm
to her elbow. She has not traveled, and there is no history of trauma. Her
temperature is 37.8°C (100°F). Epitrochlear lymph nodes are enlarged.
Examination of the distal radial aspect of the right upper extremity shows
an 8 x 13-cm warm, erythematous area of edema that is tender to palpation;
there is a warm, tender red streak extending from this area to the elbow.
Which of the following is the most likely causal organism?
A) Haemophilus influenzae
B) β-Hemolytic streptococcus
C) Pseudomonas aeruginosa
D) Salmonella choleraesuis
E) Staphylococcus epidermidis
w***0
发帖数: 222
2
based on the age group, there is only one possible. B
if they give you Staph a., you might have trouble to choose.
only I thought it might be quicker than ~2 days to develop.....
f****i
发帖数: 129
3
what's the diagnosis? cellulitis or erysipelas?

【在 w***0 的大作中提到】
: based on the age group, there is only one possible. B
: if they give you Staph a., you might have trouble to choose.
: only I thought it might be quicker than ~2 days to develop.....

w***0
发帖数: 222
4
the question did not clearly describe it, most likely cellulitis +
lymphangitis. if erysipelas, the question would tell you the "clear borders"
.
I think I know why you r asking. yes, strep can cause both cellulitis and
erysipelas.

【在 f****i 的大作中提到】
: what's the diagnosis? cellulitis or erysipelas?
f****i
发帖数: 129
5
Thanks:)

borders"

【在 w***0 的大作中提到】
: the question did not clearly describe it, most likely cellulitis +
: lymphangitis. if erysipelas, the question would tell you the "clear borders"
: .
: I think I know why you r asking. yes, strep can cause both cellulitis and
: erysipelas.

1 (共1页)
进入MedicalCareer版参与讨论
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