11-28-2008, 10:22 AM
3. Three days after undergoing a right hip
replacement for
rheumatoid arthritis, a 77-year-old man is brought to
the physician because of a
2-day history of pain, burning, and itching of his
left eye and left
side of his forehead. He has the sensation that there
is a speck of dirt
in his left eye. Current medications include
prednisone and
methotrexate. Examination of the left eye shows
conjunctival injection and
swelling of the upper eyelid. There is an
erythematous rash over the left
side of the forehead and tenderness to palpation from
the upper eyelid
to the vertex. A photograph of the rash is shown.
Which of the
following is the most appropriate next step in
management?
A
) Measurement of erythrocyte sedimentation rate
B
) MRI of the brain with contrast
C
) Acyclovir therapy
D
) Corticosteroid therapy
E
) Lumbar puncture
sounds like zoster to me c???
replacement for
rheumatoid arthritis, a 77-year-old man is brought to
the physician because of a
2-day history of pain, burning, and itching of his
left eye and left
side of his forehead. He has the sensation that there
is a speck of dirt
in his left eye. Current medications include
prednisone and
methotrexate. Examination of the left eye shows
conjunctival injection and
swelling of the upper eyelid. There is an
erythematous rash over the left
side of the forehead and tenderness to palpation from
the upper eyelid
to the vertex. A photograph of the rash is shown.
Which of the
following is the most appropriate next step in
management?
A
) Measurement of erythrocyte sedimentation rate
B
) MRI of the brain with contrast
C
) Acyclovir therapy
D
) Corticosteroid therapy
E
) Lumbar puncture
sounds like zoster to me c???