PANCE Exam Practice Questions: Quiz 364

A 40-year-old woman cut her finger while cooking in her kitchen. Two days later she became rapidly ill with fever and shaking chills. Her hand became painful and mildly erythematous. Later that evening her condition deteriorated as the erythema progressed and the hand became a dusky red. Bullae and decreased sensation to touch developed over the involved hand. What is the most important next step in the management of this patient?
- a. Surgical consultation and exploration of the wound
- b. Treatment with clindamycin for mixed aerobic-anaerobic infection
- c. Treatment with penicillin for clostridia infection
- d. Vancomycin to cover community-acquired methicillin-resistant Staphylococcus

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