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Uncomplicated non-purulent cellulitis — RCPSC EM MCQ

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ModerateInfectious disease emergenciesUncomplicated non-purulent cellulitisRCPSC EM

A 44-year-old has 12 cm of warm erythema on the shin after a scratch. He is afebrile, HR 84/min, BP 128/76 mmHg, pain is proportional, and there is no abscess on bedside ultrasound. He can return for reassessment. What is the most appropriate disposition?

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Correct answer: D — Discharge with oral anti-streptococcal antibiotics and clear return precautions

Discharge with oral anti-streptococcal antibiotics and clear return precautions is correct: the clues indicate Uncomplicated non-purulent cellulitis and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian ED Best Practices Checklist for SSTIs