Buying a Home
April 14, 2022
this is a response
April 14, 2022

this is a response to the student

JC has potential for exposure in the perirectal region and the opening of the penis. The patient is constantly sitting due to his work occupation. The lack of mobility and the possibility of being exposed to bacteria place him at greater risk of developing an infectious process. Another possible source of cellulitis for JC is his recent hemorrhoid banding operation, resulting in a rupture in the skin, allowing germs to infiltrate the subcutaneous tissue in the perineal area. Last but not least, the patient mentioned that he occasionally participates in unprotected sex during the assessment. This may also place the patient at greater risk of obtaining an STI.
Risk Factors
A higher risk of cellulitis has been linked to skin breaks, lymphedema, venous insufficiency, tinea pedis, and obesity (Sullivan & de Barra, 2018). When educating the patient regarding his medical condition, the provider must identify all of the risk factors he is currently facing. JC weighs 260 pounds which makes him obese for his age. The patient should be educated on a proper diet and exercise. Another causative agent of cellulitis is venous insufficiency, which may occur if someone is constantly sitting for long periods without stretching or moving there lower extremities. As a provider, you should educate the patient that although their occupation limits them from moving around constantly, they should take breaks every hour to improve venous circulation.
Causative Agent and treatment of Condition
Cellulitis is hypothesized to be caused by Gram-positive cocci such as Streptococcus spp. and Staphylococcus aureus (Sullivan & de Barra, 2018). As a provider, you can also obtain a wound culture and send it to the lab to identify what caused the infection. When collecting the sample, the provider can also determine if the wound continues to drain purulent drainage, which may signify a systemic infection. Due to the patient’s clinical presentations, I would start him on systemic antibiotics. Further evaluation for the possible diagnosis of Diabetes type 2 should also be done due to the patient’s blood glucose of 338 mg/dl. A provider can order an A1C test, fasting blood sugar test, or a glucose tolerance test,
References
Królicka, A. L., Kruczkowska, A., Krajewska, M., & Kusztal, M. A. (2020). Hyponatremia in Infectious Diseases—a literature review. International Journal of Environmental Research and Public Health, 17(15), 5320. https://doi.org/10.3390/ijerph17155320
Sullivan, T., & de Barra, E. (2018). Diagnosis and management of cellulitis. Clinical Medicine, 18(2), 160–163. https://doi.org/10.7861/clinmedicine.18-2-160
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