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.

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Erythema Multiforme Symptomatic treatment Opinion of Ophthalmologist is mandatory


Thanks Dr Partha Sarathi Sahana

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Tnx Dr Ashok Leel sir

Erythema multiforme

E is rt

ThanxDr Ashok Leel sir

Erythema Multiforme

Erythema multiformae, symptomatic rx


Thanks Dr. Simmi Ansari

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