MKSAP: 65-year-old woman with prodrome of pain on the tip of the nose

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 65-year-old woman is evaluated for a prodrome of pain on tip of the nose followed by a painful eruption involving the right periorbital tissue. On physical examination, all vital signs are normal. There are grouped vesicles on an erythematous base on the tip of the nose and about the right eye. Which of the following is the most appropriate first step in management of this patient? A) Apply warm compresses B) Begin ophthalmic corticosteroids C) Begin valacyclovir and obtain urgent ophthalmology consultation D) Obtain bacterial culture and start cephalexin 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 Infectious disease Source Type: blogs