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11443 Medicine

A 40-year-old woman cuts her finger while cooking in her kitchen. Two days later she becomes rapidly ill with fever and shaking chills. Her hand becomes painful and mildly erythematous. Later that evening her condition deteriorates as the erythema progresses and the hand becomes dusky red. Bullae and decreased sensation to touch develop over the involved hand. What is the most important next step in the management of this patient?

ASurgical consultation and exploration of the wound
BTreatment with clindamycin for mixed aerobic-anaerobic infection
CTreatment with penicillin for clostridial infection
DVancomycin to cover community-acquired methicillin-resistant Staphylococcus aureus (CA- MRSA)
Medicine
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11446 Medicine

A 45-year old man presents with a daily headache. He describes two attacks per day over the past 3 weeks. Each attack lasts about an hour and awakens the patient from sleep. The patient has noted associated tearing and reddening of his right eye as well as nasal stuffiness. The pain is deep, excruciating, and limited to the right side of the head. The neurologic examination is nonfocal. The most likely diagnosis of this patient’s headache is –

AMigraine headache
BCluster headache
CTension headache
DBrain tumour
Medicine
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