Case Study Cellulitis:
A 6 month-old male with a past medical history of eczema presents to the clinic today with a chief complaint of a reddened area over the inner left thigh. The area is warm, mildly swollen and tender with a central lump. He started having tactile fevers, irritability, and poor feeding today which prompted the mother to bring him for evaluation.
VS: T 38.5, P 110, R 26
He is fussy but distractible with a pacifier. He has a left upper inner thigh erythematous lesion measuring 3 x 4 cm. The skin over the area is mildly indurated, warm, brightly erythematous, and tender. Near the center of the lesion, a 1x2 cm raised and fluctuant pustule filled with purulent material is noted. There is no joint involvement.
- What other assessments do you want to make or history questions do you want to ask?
- What are your primary concern for this child/family?
- What medical care do you anticipate from the provider?
- What education will you give the family before discharge?