Mupirocin

Yeah.

Right?

Yeah.

Right.

Because you'd have to have a...

So what happens, we always tell patients what happens with cellulitis is you have some microscopic injury, um, maybe mediated by fungus on your foot, um, that causes these little microscopic tears, and then a bacteria jumps in and has an opportunistic, um, infection.

Um-

I've never seen it.

But if you're worried, always think if a patient keeps coming back and back and back again, you want to be thinking about doing a scan because that'll just put your mind at ease, particularly if you've done standard treatment for an anterior nosebleed, which is typically from Littles area, which is, you know, using epistaxis.

some Bactroban cream and some moisturization at the front of the nose, some nose oil, maybe some Kenneco, maybe some Nasolate, whatever you want to use at the front of the nose.

The study data for both adults and children say that it'll work quite frequently for an anterior nosebleed.

We're talking three quarters, 80% of the time, if you just use simple creams in the front of the nose.

Therefore, cross-reactivity is rare, and it is only considered a possible caution rather than a strict contraindication in a sulfa-allergic patient.

And finally, to round out the armory, mupirocin ointment.

Mupirocin is highly specific and targeted.

It is the absolute best topical agent to deploy if your deep tissue wound biopsy confirms the active presence of methicillin-resistant Staphylococcus aureus or MRSA.

This has been an incredibly dense multisystem exploration of critical care physiology.