question archive Case Study: Tarek is a 62-year-old male who comes into your clinic complaining of right foot pain and states "this sore on my foot just won't go away

Case Study: Tarek is a 62-year-old male who comes into your clinic complaining of right foot pain and states "this sore on my foot just won't go away

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Case Study:

Tarek is a 62-year-old male who comes into your clinic complaining of right foot pain and states "this sore on my foot just won't go away." He has a history of diabetes, Hypertenison, and medical non-compliance. You note the foot is reddened, and there is a 5 cm X 5 cm circular wound on the sole of his right foot with purulent, foul smelling exudate.

  • What is significant in Tarek's history that has likely contributed to him developing this wound?
  • What initial steps would you take in caring for Tarek who you note has a significant wound that is suspicious for infection?
  • Based on Tarek's history, are there any antibiotics that you believe should be avoided? If so, why?
  • The provider writes a prescription for Tarek to receive Amoxicillin 500 mg PO BID for 10 days. Tarek states, "I hope that I don't react to this the same way I reacted to Penicillin. The last time I took that I got a bad case of hives." How would you respond to Tarek and this situation?
  • The provider changes the prescription to Tetracycline 500 mg PO BID. What patient education would you provide to Tarek regarding this prescription?

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