A 29-year-old man presents to the Emergency Room with a 2-day history of fever and painful skin eruption over the left side of his chest. His physical examination reveals a skin er... A 29-year-old man presents to the Emergency Room with a 2-day history of fever and painful skin eruption over the left side of his chest. His physical examination reveals a skin eruption consisting of maculopapular lesions and vesicles with some skin crusting over the left side of his chest. His systemic examinations are unremarkable. Which of the following is the most appropriate action to confirm the diagnosis? A. Skin biopsy B. Blood culture C. Swab from skin lesion for culture D. No further investigation is required
Understand the Problem
The question describes a clinical scenario involving a 29-year-old man with a skin eruption and fever, asking for the most appropriate action to confirm the diagnosis from the given options.
Answer
No further investigation is required.
The final answer is D: No further investigation is required.
Answer for screen readers
The final answer is D: No further investigation is required.
More Information
The presentation suggests herpes zoster (shingles), typically diagnosed clinically by the characteristic painful vesicular rash in a dermatomal distribution. Additional tests aren't usually needed.
Tips
A common mistake is over-investigating cases with a classic clinical presentation. Accurate clinical diagnosis can prevent unnecessary tests.
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