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step2ck_form8/Block 2/Question#39 (5.0 difficulty score)
A previously healthy 32-year-old woman comes ...

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submitted by seagull(1567),

I was desperately looking for cellulitis. I never did see it. Some say I'm still looking for it to this day.

welpdedelp  Same lol. A question I had was I thought lymphangitis was supposed to precede some sort of injury, obv not lol but was the lymph node the main giveaway? +  
keyseph  I think the key distinguishing features are the red streaks leading to an area of local lymphadenopathy. Otherwise, cellulitis would be a viable option if given. +  

submitted by step_prep(53),
  • Patient with an inflammed area of the distal radius with red streaks extending from the area towards the elbow, most consistent with lymphangitis
  • Key idea: Most common pathogens are MSSA and Group A strep, and therefore empiric treatment is cephalexin