dermatology

Take all of your antibiotics as ordered. Please call your primary care doctor within 2 days of discharge and follow-up with them in one week. If the affected cellulitic area increases in redness, warmth, pain or swelling call your primary care doctor. If you develop fever, chills, and/or malaise, call your primary care doctor.

Does not appear at this time to be erythema multiforme, bullous, SJS, TEN; no evidence at this time to suggest RMSF or endocarditis or Lyme disease; patient looks well, nontoxic and is tolerating oral intake; no neurologic signs or symptoms; no headache or photophobia or neck pain; no ev of sepsis; question viral exanthema; afebrile; appropriate for initial o/p tx; d/w pt importance of f/u and pt agrees/understands; told pt to return to nearest ER immediately for any worsening ssx incl but not limited to: fever, spreading rash, pain, sore throat, headache, dizziness, chest pain, trouble breathing, or any ssx concerning to the patient. I did d/w pt the aforementioned ddx as possibilities and pt understands to f/u even if better and to return to ER if un-changed/worse. Pt understands these instructions on d/c and is comfortable with discharge plan.