This week Dr Jonathan Bardgett discusses how to manage patients with a red hot painful swollen foot with Dr Callum Mutch. Jonathan and Callum discuss diagnostics, treatment and examples of different case presentations.

Dr Mutch is an infection doctor working in Edinburgh with his time split between the microbiology lab and the infectious diseases ward. He has recently undertaken a medical education fellowship focusing on Simulation Based Mastery Learning and Digital Education. Outside of work he is the co-host of the Infectious Diseases Insight of Two Specialists (ID:IOTS) podcast.

Disclaimer: Please always refer to the most up-to-date local antimicrobial guidelines

-- Useful Links--NICE guideline [NG141]: Cellulitis and erysipelas: antimicrobial prescribing - https://www.nice.org.uk/guidance/NG141 Sullivan T, de Barra E. Diagnosis and management of cellulitis. Clin Med (Lond). 2018 Mar;18(2):160-163. - doi: https://doi.org/10.7861/clinmedicine.18-2-160 MicroGuide App: https://apps.apple.com/gb/app/microguide/id447171786 / https://play.google.com/store/apps/details?id=com.xancu.utreat&pli=1 NHS Scotland Antimicrobial Companion app: https://www.antimicrobialcompanion.scot/Shorter is better - https://www.bradspellberg.com/shorter-is-better NG141 Summary of the Evidence on Antibiotic prophylaxis for the prevention of recurrent cellulitis and erysipelas - https://www.nice.org.uk/guidance/ng141/chapter/Summary-of-the-evidence#antibiotic-prophylaxis-for-the-prevention-of-recurrent-cellulitis-and-erysipelas Differentials: Lipodermatosclerosis - https://cks.nice.org.uk/topics/venous-eczema-lipodermatosclerosis/, DVT NICE guideline NG158 - https://www.nice.org.uk/guidance/NG158 Fernando SM, Tran A, Cheng W, Rochwerg B, Kyeremanteng K, Seely AJE, Inaba K, Perry JJ. Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis. Ann Surg. 2019 Jan;269(1):58-65. - doi: https://doi.org/10.1097/sla.0000000000002774 Infectious diseases tag on Education Portal - https://learning.rcpe.ac.uk/tag/index.php?tc=1&tag=Infectious%20Diseases ID:IOTS podcast - https://idiotspodcasting.buzzsprout.com/ (https://idiotspodcasting.buzzsprout.com/1782416/9227705-6-skin-and-soft-tissue-infection and https://idiotspodcasting.buzzsprout.com/1782416/9227743-7-necrotising-fasciitis)

Recording Date: 28 June 2023

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