5.0 of 3 Ratings
A 54-year-old male presents to the emergency department with facial pain. He reports feeling well until yesterday, when he developed a headache that has gotten progressively worse. The pain has now spread to the right side of his face. This morning he also developed lacrimation of the right eye and double vision. His past medical history is significant for hypertension, hyperlipidemia, type II diabetes mellitus, and end stage renal disease secondary to diabetic nephropathy. The patient’s most recent HbA1c was 12.7%. His home medications include furosemide, lisinopril, pravastatin, metformin, glipizide, and insulin. His temperature is 101.8°F (38.8°C), blood pressure is 155/92 mmHg, pulse is 103/min, and respirations are 16/min. On physical exam, he has proptosis and chemosis of the right eye. Physical exam of the hard palate can be seen in Figure A. In addition to surgical debridement, which of the following is the treatment of choice for this patient?
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