Correct!
5. All of the above
The patient appears to have an infected leg with possible necrotizing fasciitis and possibly sepsis. Therefore, cultures of the wound and blood, a surgery consult and baseline laboratory studies are all appropriate.
The laboratory evaluation was surprisingly unremarkable except for a white blood cell count of 29,600 cells/microliter with a left shift. The laboratory risk indicator for necrotizing fasciitis was low at 2. No organisms were seen on the gram stain although atypical cells were noted. The wound and blood cultures showed no growth. The surgery consultation recommended broad-spectrum antibiotics and following the patient.
Which of the following should be done next? (Click on the correct answer to proceed to the third of five panels)