A 22-year-old landscaper presents to the ED with a rash that began approximately three weeks ago. He reports it started with a single bump on his left forearm that has been oozing fluid. He subsequently developed lesions tracking up his arm. He denies any joint pain, decreased range of movement, fever, numbness, or weakness. On exam, he has an area of redness overlying a small papule and a rash spreading proximally as depicted in the image above. Which of the following is the most appropriate treatment for this condition? A. Acyclovir
B. Hydrocortisone 1%
C. Itraconazole
D. Permethrin

A74-year-old woman, who has been followed for the past 25 years for chronic obstructive pulmonary disease comes to the ed complaining of 48 hours of temperature to 38.6 c and worsening shortness of breath. she has a chronic productive cough, which has become more copious. on physical examination, she has rhonchi and increased fremitus in the posterior mid-lung field. a gram's stain reveals many epithelial cells and multiple gram-positive and gram-negative organisms; no neutrophils are seen. which of the following is the most likely organism causing the symptoms? - escherichia coli- haemophilus influenzae- klebsiella pneumoniae- mycobacterium tuberculosis- mycoplasma pneumoniae