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186255 Pediatrics

A mother calls you on the telephone and says that her 4-year-old son bit the hand of her 2-year-old son 2 days ago. The area around the injury has become red, indurated, and tender, and he has a temperature of 39.4degC (103degF). Which of the following is the most appropriate response?

AArrange for a plastic surgery consultation at the next available appointment.
BAdmit the child to the hospital immediately for surgical debridement and antibiotic treatment. (Correct Answer)
CPrescribe penicillin over the telephone and have the mother apply warm soaks for 15 minutes four times a day.
DSuggest purchase of bacitracin ointment to apply to the lesion three times a day.