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lymphangitis-lymphadenitis
May 6, 2025 at 8:56:44 AM
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Recognize linear erythema and regional lymph node swelling as signs of lymphangitis
Assess for systemic signs (fever, tachycardia) and severity of infection
Evaluate for presence of abscess or fluctuant lymph nodes needing drainage
Initiate empiric antibiotic therapy targeting Streptococcus and Staphylococcus species
Obtain wound culture if purulence or drainage is present
Mark proximal extent of erythema to monitor progression
Advise limb elevation and warm compresses to reduce inflammation
Educate patient on proper wound care and hygiene
Monitor response to therapy within 48–72 hours
Adjust antibiotics based on culture results or lack of clinical improvement
A 46-year-old woman presents to the clinic with a painful, red streak extending from a small cut on her left hand toward the forearm. She also notes tenderness and swelling in her left axilla. The hand injury occurred 2 days ago while gardening. She reports low-grade fever and malaise. On examination, there is a linear area of erythema tracking proximally from the wound, and tender, enlarged axillary lymph nodes are palpable. No purulent drainage or abscess is present.
Question
What is the appropriate evidence-based sequence of steps for managing acute lymphangitis and regional lymphadenitis in this adult patient?
Try Again!
1
Recognize linear erythema and regional lymph node swelling as signs of lymphangitis
2
Initiate empiric antibiotic therapy targeting Streptococcus and Staphylococcus species
3
Assess for systemic signs (fever, tachycardia) and severity of infection
4
Evaluate for presence of abscess or fluctuant lymph nodes needing drainage
5
Mark proximal extent of erythema to monitor progression
6
Obtain wound culture if purulence or drainage is present
7
Educate patient on proper wound care and hygiene
8
Advise limb elevation and warm compresses to reduce inflammation
9
Monitor response to therapy within 48–72 hours
10
Adjust antibiotics based on culture results or lack of clinical improvement
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