A 47 year old nurse presents to your office complaining of a poorly healing ulcer of her left second digit. The ulcer started a week ago and is painless. The patient has tried using over-the-counter antibacterial and hydrocortisone creams without improvement. She denies trauma to the hand. The patient has a temperature of 38.4ºC (101.1ºF) and left-sided epitrochlear and and axillary adenopathy. She has a 4 cm ulcer on the dorsal side of the left second digit covered by an extensive amount of non-pitting edema. Which of the following is the most likely diagnosis?
A. Smallpox infection
B. Cutaneous anthrax
C. Cat-scratch disease
D. Leprosy infection
E. Brown recluse spider bite
2007-03-04 04:21:25 · 6 answers · asked by anjusk_18 1 in Health ➔ Diseases & Conditions ➔ Infectious Diseases
If it is a spider bite it would depend which part of the Country you live in."If you live in the United States"I live in Losangeles and I most people I've seen with a spider bite say they were bitten by a brown recluse.The only problem is Brown recluse spiders aren't found in California.It sounds as if it's a spider bite but without knowing the location of the Country it's very hard to say that it's from a brown recluse.
2007-03-04 04:56:28 · answer #1 · answered by I Need The Points 2 · 2⤊ 0⤋
Knock A,C and D off the list.Now we're down to two possible problems.It's possible that none of there answers are correct.It sounds like a spider bite but I have to agree with little girl.It depends on where you live.If E. only said spider bite it could be correct.I feel your best answer is from little girl.
2007-03-04 13:23:19 · answer #2 · answered by shit_starter2006 2 · 2⤊ 0⤋
I'm a nurse. My guess would be septic (infection into her bloodstream) I guess you already know this could turn fatal. Did you run any blood tests and if so what did you find? Also did you do a culture on the wound for a proper diagnoses? Did she get any form of antibiotics? I hope this gives you some ideas on what to do for her. She could also be seen by a dermatologist refer her out. Take care.
2007-03-04 14:55:04 · answer #3 · answered by nursey 3 · 0⤊ 1⤋
E. Brown recluse spider bite
because there is extensive non-pitting edema on the finger.
2007-03-04 12:27:12 · answer #4 · answered by Jennifer M 4 · 0⤊ 2⤋
E-brown recluse spider bite
2007-03-04 12:25:48 · answer #5 · answered by chastity 3 · 0⤊ 2⤋
I'd go with the spider bite.
2007-03-04 12:25:18 · answer #6 · answered by Sassy OLD Broad 7 · 0⤊ 2⤋