1)     Lester is a 48 year old male who is brought to the ER by the ambulance. Neighbors found him lethargic

and confused after an episode of binge drinking. IV fluid hydration was started. He perked up and was able to be part of some history taking. Physical examination revealed an are of erythema on the upper inner aspect of the left thigh. Lester does not remember any trauma or injury, but the area is extremely painful to palpation and the painful region extends several centimeters proximal to the erythema. One hour later when all diagnostic studies are available- lester says that the pain is markedly worse. Physical exam reveals that the original area of erythema is now almost purple, and there are two erythematous spots proximal to the original site. The AGACNP is suspicious for

a)     Brown recluse spider bite

b)     Necrotizing fasciitis

c)      Staphylococcal cellulitis

d)     Coagulopathy

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