A man comes to the Walk In clinic complaining of a golf-ball sized mass near his left groin. Upon physical examination, the mass is palpable, and warm to the touch, with a 5 cm radius of cellulitis. As the physician palpates the mass, a thick, purulent substance leaks out. The physician promptly collects the pus and sends it to the lab for testing. The physician then sends the man home with directions to apply heat to the area 3-4 times per day and to wait to hear what the lab results are before discussing a treatment plan. Below are the preliminary laboratory results: The physician orders a lab technician to perform a Kirby Bauer disk diffusion assay and finds that the organism is resistant to the following antibiotics: 1) Penicillin, 2) Ampicillin, 3) Methicillin, and 4) Trimethoprim/Sulfamethoxazole. Based upon this recent revelation, what drug would you choose to treat the patient with?

Mrs. Jones is a 70-year-old woman you are admitting to the skilled nursing facility after a total hip replacement. When you obtain her past medical history, she reports a problem with a chronic rash under her breasts and in her supragluteal fold. She has tried a number of topical antifungal treatments without success. She has never seen a dermatologist. While she finds the rash a nuisance and experiences an occasional increase in itchiness, it is something she can live with. Her primary care provider diagnosed the rash as Candida and encouraged her to keep the area clean and dry and to use antifungals. Recently, her 42-year-old daughter was diagnosed with psoriasis and asked about a family history of the disease. Mrs. Jones was unaware of anyone in her or her husband’s family with that diagnosis. On physical examination, you note a shiny, erythematous lesion with symmetrical distribution under both breasts. It is well demarcated without drainage and without the presence of any…

For which of the following cases would high index fluids be recommended?     dehydrated cases     decomposition cases     emaciated cases     febrile cases

Identification of a unique skin rash can often be the first step in diagnosing a disease. What infectious agents are indicated by the rashes below?