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You see a 6-year-old who obtained a cut on his foot while walking

1.     You see a 6-year-old who obtained a cut on his foot while walking

barefoot. You diagnose cellulitis. He is up to date on his DTaP vaccine. There is a low-grade temperature and appears nontoxic. There is considerable pain when you palpate the foot. Which of the following treatments is best?

a.

Apply cool, moist compresses to the area to decrease pruritis and begin oral amoxicillin at 80 mg/kg/day.

b.

Give ibuprofen for pain and/or fever and begin oral penicillin VK.

c.

Advise rest and immobilization, begin cephalexin (Keflex) or sulfamethoxazole/trimethoprim (Bactrim), and use warm moist compresses.

d.

Give acetaminophen for pain or fever and begin oral azithromycin (Zithromax).

 
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