Reports severe labial pain

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A 37-year-old female comes to see you and reports severe labial pain. She tells you the pain began a few days ago and has worsened steadily. On exam, vital signs show blood pressure 120/75, pulse 75, temperature 98.6, respiratory rate 20, and oxygen saturation of 99% on room air. The patient appears well. Examination of the labia reveals a 3 cm fluctuant mass on the right side. What is the best next step in management? A. Administer cephalexin plus metronidazole and discharge with return precautions B. Placement of a Word catheter and discharge with return precautions C. Administer ceftriaxone, metronidazole and azithromycin and discharge with return precautions D. Ultrasound of the mass E. Culture, administer vancomycin IV, and admit to hospital.

Reference no: EM133711652

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