The first patient you are asked to see is a 78 year old gentleman with right lower leg pain and feeling unwell, no fever, just tiredness last 2 days, the right leg seems sore and painful but not sure why as he has had no accidents, falls or trauma. It was an acute onset of red, painful, hot swollen and tender skin and has spread over the last few days.
Pmh- Hypertension and Diabetes type 2 on insulin. No allergies.
Temp 37.9 pulse 78 reg, sats 99% in air, BM-15.8, rr-16. BP 134/82.
Some calf pain, redness and heat.
There is a small lesion on the back of the leg – insect bite? ulcer? it is weeping pus?
When examining Zephiah
Look for a skin break where the infection organism may have entered, such as a wound, macerated skin, fungal skin infection or an ulcer.
Categorise the severity of cellulitis:
The Eron classification system can help guide admission and treatment decisions.
For Zephiah the cellulitis is class 2. In your documentation write up your consultation – including management would be.