Fill in the Blanks Dermatology ChartOnline version fill in the blanks by Terri Signorotti 1 erythema lesion sensitivity pustules and necrosis dermatologist pruritis culture debridement cellulitis dermis Current Complaint : A 64 - year - old female with an open sore ( ) on her right leg is seen by the specialist in treating diseases of the skin ( ) . Past History : Patient states she first noticed an area of pain , severe itching ( ) , and redness of the skin ( ) just below her right knee about 6 weeks ago . One week later raised spots containing pus ( ) appeared . Patient states the raised spots containing pus ruptured and the open sore appeared . Signs and Symptoms : Patient has a deep open sore 5 x 3 cm : It is 4 cm distal to the knee n the lateral aspect of the right leg . It appears to extend into the middle skin layer ( ) ; edges show signs of tissue death ( ) . The open sore has a small amount of drainage but there is no odor . A sample of the drainage that was grown in the lab to identify the miccroorganism and determine the best antibiotic ( ) of the drainage revealed Staphylococcus bacteria in the open sore . Diagnosis : Inflammation of the connective tissue of the skin ( ) . Treatment : Removal of damaged tissue ( ) of the open sore followed by application of an antibiotic cream . Patient was instructed to return to the skin disease specialist's office in 2 weeks , or sooner , if the open sore does not heal , or if it begins draining pus .
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