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April 26, 2024

67-year-old Caucasian female who has history of Type 2 diabetes mellitus (DM) presents to your office for a cat

67-year-old Caucasian female who has history of Type 2 diabetes mellitus (DM) presents to your office for a cat bite to her right thumb. She was bitten by a neighborhood cat 3 days ago. Her thumb is red, inflamed, and painful. Yesterday the nurse practitioner saw the patient in the clinic; the bite area was diagnosed as cellulitis. Amoxicillin/clavulanate (Augmentin) 875 mg bid was prescribed. The patient now complains the swelling and pain is much worse. She also reports sweats, chills, and malaise. What is the next best plan of action? Group of answer choices Add rocephin 1 GM IM today. Consult the hospitalist for admission. Discontinue the amoxicillin/clavulinate RX. Have her start Bactrim DS immediately. Give a dose of IV Vancomycin in the office now.

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