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Cellulitis systemic features — GPhC CRA MCQ

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HardInfectionsCellulitis systemic featuresGPhC CRA

A 45-year-old man has spreading lower-leg redness, warmth and pain after a cut. He has temperature 38.2°C, pulse 105 bpm and lymphangitis tracking up the leg. He asks for antiseptic cream. What is the most appropriate action?

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Correct answer: CRefer for same-day medical assessment because systemic features suggest cellulitis needing antibiotics

Spreading erythema with fever, tachycardia and lymphangitis suggests cellulitis with systemic features. Same-day assessment for oral or intravenous antibiotics is required depending on severity. Topical antiseptics or antifungals are inadequate. Compression may be useful in oedema management later but should not delay infection treatment.

Reference: NICE CKS; BNF