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Diagnosis and Management of Non-Purulent Cellulitis in the Emergency Department

机译:急诊科非脓毒性蜂窝组织炎的诊断和处理

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A 47-year-old homeless male presents to the emergency department (ED) with right lower extremity swelling, erythema and pain. He has diabetes mellitus, and had one prior episode of cellulitis three months ago affecting the same leg. He has a history of medication noncompliance. At triage, his temperature is 38.3°C but the remaining vital signs are unremarkable. On examination of the affected leg, there is an approximately 10?×?10?cm area of erythema, induration and increased warmth. There is mild tenderness to palpation and you wonder if there is a small degree of fluctuance. There is no lymphangitis, crepitus, necrosis or pain out of proportion to clinical findings.
机译:一名47岁无家可归的男性出现在急诊科(ED),右下肢肿胀,红斑和疼痛。他患有糖尿病,并且三个月前曾有一次蜂窝组织炎发作,影响了同一条腿。他有不服药史。分流时,他的体温为38.3°C,但其余生命体征并不明显。检查患肢时,约有10?×?10?cm的红斑,硬结和温暖感增加。触诊有轻微压痛,您想知道波动是否很小。没有淋巴管炎,瘙痒,坏死或疼痛与临床表现不成比例。

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