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
.
