A 70-year-old woman presents with a painful vesicular rash in a dermatomal distribution over the right side of her forehead and extending to the tip o...

Question

A 70-year-old woman presents with a painful vesicular rash in a dermatomal distribution over the right side of her forehead and extending to the tip of her nose. What is the most important immediate step in management?

Accepted Answer

Urgent referral to an ophthalmologist

Answer

Prescribe oral aciclovir 800mg five times daily for 7 days

Answer

Prescribe topical aciclovir cream

Answer

Advise simple analgesia and reassurance

Answer

Prescribe oral gabapentin

mrcgp akt MCQ (SBA): Herpes Zoster Ophthalmicus

A 70-year-old woman presents with a painful vesicular rash in a dermatomal distribution over the right side of her forehead and extending to the tip of her nose. What is the most important immediate step in management?