Woman with diabetes mellitus

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Question

M.R. is a 66-year-old woman with diabetes mellitus. She is obese and has difficulty caring for herself. She presents with a non-purulent erythematous area on her left lower leg that began 2 weeks ago as an insect bite. The area was itchy but not painful. She has had an intermittent, low-grade fever for the past week but otherwise feels well. She states that the redness has gotten worse, and there is now mild swelling in her lower leg near the lesion. Her only medication is insulin, and she has no allergies.

1. What signs and symptoms does this patient have to suggest cellulitis?

2. What drug therapy would you prescribe? Why?

3. Discuss specific patient education based on the prescribed therapy.

4. What would be the choice for second-line therapy?

5. What over-the-counter or alternative medications would be appropriate for M.R.?

Reference no: EM133757707

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