Question

question 1
a 45 - year old with diabetes has had itching and burning lesions between her toes for 2 months. scrapings of the lesions confirm the diagnosis tinea pedis. what is the best initial treatment option for this patient?
prescribe an antifungal powder for application between her toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. monitor for a secondary bacterial infection.
prescribe an oral antifungal for 4 to 12 weeks. monitor bun and creatinine at 1 week, 2 weeks, and every month thereafter.
prescribe an oral antifungal for 4 to 12 weeks. monitor liver enzymes, bun, and creatinine at 1 week, 2 weeks, and every month thereafter.
prescribe a prescription strength antifungal/steroid combination cream. monitor for a secondary bacterial infection.

Explanation:

Tinea pedis is a fungal infection. For a diabetic patient, systemic antifungals can have side - effects. Topical antifungal powder is a good initial option as it is less likely to cause systemic side - effects and can directly target the affected area between the toes. Monitoring for secondary bacterial infection is also important.

Answer:

Prescribe an antifungal powder for application between her toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for a secondary bacterial infection.