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Cellulitis

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Investigations

In unwell patients, consider
  • swabbing any skin breaks, wounds, or ulcers c 
In patients with a possibly serious infection, consider c  
  • blood count  
  • urea and electrolytes  
If osteomyelitis is a possibility consider a  
  • ESR
  • a bone scan
  • MRI 
In suspected cases of necrotising fasciitis, consider: 
  • an X-ray of the affected limb - look for gas in the soft tissues c
  • a frozen biopsy c  
    1% lidocaine anaesthesia , 2cmx1cm elliptical biopsies - skin and deep soft tissue - of suspected necrotising area and at another area (leading edge of erythema, induration or necrosis)
  • MRI c  

 

Expiry date: January 2004
Levels of Evidence used in grading these guides

Authors   J   Epling , CM   Ball
Reviewer   C   Conlon
CAT Writers   J   Epling , CM   Ball