MKSAP: 52-year-old woman with a burning sensation on her forehead

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 52-year-old woman had a burning sensation involving the right side of her forehead and the tip of her nose for 2 days, followed by increased redness and the development of lesions involving the tip of her nose. Medical history is significant for hypertension, and her only medication is ramipril. On physical examination, vital signs are normal. Skin examination shows an erythematous patch on the right side of the forehead with scattered overlying grouped vesicles and a vesicle on the tip of the nose with background erythema. Mild conjunctival erythema is noted. The remainder of the physical examination is unremarkable. In addition to starting antiviral medications, which of the following is the most appropriate next step in management? A: Administer herpes zoster vaccine B: Start mupirocin C: Urgent ophthalmologic evaluation D: Urgent otolaryngology evaluation Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Neurology Source Type: blogs