Dunphy Primary Care Exam 2 Practice

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What condition is suspected in a patient with a warm, tender, and erythematous area on the lower leg with edema?

Necrotizing fasciitis

Kaposi's sarcoma

Cellulitis

In this scenario, the presence of a warm, tender, and erythematous area on the lower leg accompanied by edema is highly suggestive of cellulitis. Cellulitis is a bacterial skin infection that typically presents with these classic signs. The warmth indicates inflammation, tenderness reflects the body's response to infection, and erythema signifies the area is affected by the infection, often leading to increased vascularity and fluid accumulation, resulting in edema.

Cellulitis usually arises from a break in the skin, allowing bacteria, commonly Streptococcus or Staphylococcus species, to enter and proliferate. The rapid onset of these symptoms aligns with the typical presentation of cellulitis, making it the most plausible diagnosis in this case.

While other conditions like necrotizing fasciitis, diabetic ulcers, and Kaposi's sarcoma can present in similar regions or with swelling, they generally have distinguishing features or additional symptoms that would separate them from cellulitis. For instance, necrotizing fasciitis usually involves more severe systemic symptoms and rapidly progressing tissue destruction, while diabetic ulcers involve chronic wounds often related to neuropathy or vascular insufficiency rather than an acute infectious process. Kaposi's sarcoma typically presents as specific lesions rather than an acute inflammatory interpretation

A diabetic ulcer

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