QuestionSBA
QuestionChoice
Doxycycline can be used to treat patient's cellulitis however it is reserved as a treatment option if the patient has a penicillin allergy - which this patient doesn't.
50330
b
Doxycycline 200mg PO OD for the first day then 100mg PO OD thereafter
QuestionChoice
Clarithromycin can be used to treat patient's cellulitis however it is reserved as a treatment option if the patient has a penicillin allergy - which this patient doesn't.
50331
c
Clarithromycin 500mg PO BD
QuestionChoice
This patient has cellulitis. He is systemically well therefore doesn't need to be admitted to hospital. He has no penicillin allergy therefore flucloxacillin is the appropriate management option for this patient.
50329
a
Flucloxacillin 500mg PO QDS
QuestionChoice
Co-amoxiclav can be used to treat patient's cellulitis however it is reserved as a treatment option if the patient has an infection near the eyes or nose - which this patient doesn't have.
50332
d
Co-amoxiclav 500/125mg PO TDS
QuestionChoice
Erythromycin can be used to treat patient's cellulitis however it is reserved as a treatment option if the patient has a penicillin allergy - which this patient doesn't. If the patient is pregnant and has a penicillin allergy then this is the first line treatment option.
50333
e
Erythromycin 500mg PO QDS
QuestionComment
BNF says 1-2g every 6 hours of flucloxacillin? 
61149
User
subscriber
Myotonia Sclerosis
Concept
Chapter
Osteoporosis, otherwise known as thin bones, is a condition associated with high risk of low trauma fractures due to reduced bone mineral density. Osteoclast activity exceeds osteoblast activity, meaning that bone resorption is occurring at a greater rate than bone formation.

**Symptoms and Signs**

- Generally asymptomatic until a fragility fracture occurs
- Back pain
- Kyphosis (stooped posture)
- Fragility fractures

**Risk factors**

- Female sex
- Increasing age
- Smoking
- Corticosteroid use
- Low BMI (< 20-25kg/m<sup>2</sup>)
- Low body weight (<58kg)
- Vitamin D deficiency

**Protective factors**

- Higher BMI
- Exercise - mechanical loading stimulates bone formation

**Diagnosis**
Osteoporosis can be detected on dual-energy x-ray absorptiometry (DEXA) scan.
A T score of < -2.5 indicates osteoporosis

**Management**

- Fall prevention
- Vitamin D and calcium supplementation
- Hormone replacement therapy (postmenopausal women)
- Oral bisphosphonates
2657
3649
First line management of cellulitis
Topic
92
General Practice
10120
Case Presentation: A 68 year old man attends his GP to a new rash. This rash is on his leg, is red and hot. 


**PH** Type 2 diabetes mellitus, hypertension

**DH** Metformin 500mg PO BD, ramipril 5mg PO OD. NKDA

**On examination**
Temperature 37.6°C, HR 74, RR 15, BP 136/86, O2 98% RA.

A 3x4cm rash is visualised on the anterior aspect of the right leg. It is hot and painful to touch.

Question: Select the most appropriate management at this stage.
a