Erica Simon

A 32-year-old female, with a history of rheumatoid arthritis (methotrexate therapy), presents to the emergency department for severe itching, mouth ulcers, and a diffuse rash. The patient denies recent travel, sick contacts, and new exposures. Review of systems is positive for abscess/cellulitis treatment (cephalexin and trimethoprim/sulfamethoxazole) three weeks prior to arrival. What diagnosis should be on your differential? Take a minute to read this week’s review of DRESS.

A 31 year-old female, undergoing ED evaluation for chronic back pain, is found to have microscopic hematuria on urinalysis. She is asymptomatic. Is follow-up advised? Let’s review hematuria.

A 65-year-old male with epididymitis has been compliant with his antibiotic therapy for 4 days duration, but remains symptomatic. Is it time to consider an alternative diagnosis? Read this week’s review to find out.