Thigh Pain
UnFiNiShEd CaSe CoMe BaCk LaTeR
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History of Present Illness:
A female in her 60s with a history of DM presents to the ED for 3 days of inner right thigh pain and redness and vaginal discharge. Last sex was 7 days ago with stable partner. Pain worse to sit on. No fever but some chills a few days ago
Vital Signs & Physical Exam:
Vital signs are normal except for a temperature of 101.4. BP and pulse are normal Physical exam is otherwise normal except for a 2% TBSA area of redness and tenderness to the upper inner thigh.
Initial Differential Diagnosis:
- Cellulitis
- Other infection
Initial Diagnostic Testing:
- Labs: WBC and bands both 15. Glucose 400, lactate and creatinine both 2.2, sodium and gap normal
QUESTIONS:
- What other test should you consider?
- What should you do next?
- Want a 1-minute consult/tutorial on this case?
- Want to know what happened with this patient?
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ANSWERS:
- What other test should you consider?
- What should you do next? Treat with. Consult.
- Want a 1-minute consult/tutorial on this case? See yellow area from sample page below.
- Want to know what happened with this patient? See case conclusion below tutorial page.
1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook
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CASE CONCLUSION: We’ll just have to see
CASE LESSONS: