A 22-year-old man presents to the ED with a 3-day history of rash, fever, malaise, and mouth sores. He has been unable to eat because of mouth pain. He denies arthralgias, penile discharge, new medications, drug allergies, or prior similar episodes. On examination, the patient’s BP is 100/60 mm Hg, HR is 110 beats per minute, RR is 20 breaths per minute, and temperature is 102°F. The patient appears alert but uncomfortable. He has multiple vesiculobullous lesions on his conjunctivae and mouth as seen in the image below. Visual acuity is 20/20. Target lesions are found on his palms and soles. What is the most appropriate next step in management? A) Discharge him with analgesics, antihistamines & mouth rinse B) Discharge him with acyclovir, analgesics, antihistamines & mouth rinse C) Discharge him after 1 L normal saline IV, & prescription for analgesics, antihistamines, oral prednisone & mouth rinse D) Admit him & administer 1-2 L normal saline oral prednisone, analgesics, antihistamines & mouth rinse E) Admit him & administer 1-2 L normal saline IV, analgesics & acyclovir IV.

1 Like

LikeAnswersShare

Erythema Multiforme Symptomatic treatment Opinion of Ophthalmologist is mandatory

E)

Thanks Dr Partha Sarathi Sahana
0

View 2 other replies

E.

Tnx Dr Ashok Leel sir
0

Erythema multiforme

E is rt

ThanxDr Ashok Leel sir
0

Erythema Multiforme

Erythema multiformae, symptomatic rx

E

Thanks Dr. Simmi Ansari
0

View 2 other replies

THE ANSWER IS E....

Load more answers

Diseases Related to Discussion

Cases that would interest you