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Dermatology · Bacterial skin infection: cellulitis
Sample itemA patient has a warm, tender, expanding erythematous lower leg with fever but no sharply raised border. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Cellulitis
Cellulitis is infection of deeper dermis and subcutaneous tissue, causing diffuse warmth, tenderness, and expanding erythema. Erysipelas is more superficial and often has a sharply demarcated raised edge.
Option by option
A. Cellulitis (correct)
Correct. Diffuse tender spreading erythema fits cellulitis.
B. Erysipelas
Erysipelas is usually more sharply demarcated and raised.
C. Urticaria
Urticaria produces transient itchy wheals.
D. Venous eczema
Venous eczema is chronic, itchy, and associated with edema and hemosiderin change.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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