cellulitis

EM@3AM: Abscess

A 42-year-old male presents with right buttock pain that started 3 days ago and has progressively worsened. He reports feeling warm but denies any other symptoms. He noticed that the back of his underwear was wet this morning but wasn’t sure why. His right buttock has a 5cm area of erythema with induration and fluctuance. What is the most likely diagnosis?

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EM@3AM: Cellulitis

A 56-year-old male with a history of type 2 diabetes presents to the ED with a rash on his right shin that started two days ago and has progressively worsened. He has associated mild pain but has not taken any analgesics.
Vital signs include HR 90 bpm, BP 148/100, RR 16, T 100.2F, and SPO2 96%. Examination is significant for an obese disheveled male in no acute distress. His right shin has a large area of erythema with indistinct margins and increased warmth, as well as associated mild tenderness to palpation. What is the most likely diagnosis?

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EM Cases: Skin and Soft Tissue Infections – Myths and Misperceptions

Why do EM physicians spend so little time talking about the things we see the most often? You may not be as energized for cellulitis as you are for an ED thoracotomy, but skin and soft tissue infections are encountered on nearly every shift – and you can do a lot more good for a lot more patients by recognizing and treating these common infections the right way.

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