Year Woman Presents Assignment Help: How to Answer This Question

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Original Question

A 55-year-old woman presents with a rash, initially localized to her abdomen, but now extending to her whole body. A review of the systems is positive for fevers, chills, and decreased appetite. She denies fatigue or change in weight. Her history is significant for hypertension, and she takes amlodipine. She says her grandmother may have been diagnosed with lymphoma, but is not sure. She denies smoking, alcohol use, and the use of recreational drugs. Vital signs are temperature 99.5 °F (37.5 °C), blood pressure 120/90 mm hg, heart rate 90 bpm, and oxygen saturation 99% on room air. On physical examination, there is diffuse erythema, with areas of exfoliation and nodules, and diffuse lymphadenopathy, including cervical, axillary, and inguinal. Which of the following is the next best step in evaluation? A. Order a CBC, blood chemistries, and a CT of the chest, abdomen, and pelvis. B. Order an excisional lymph node biopsy. C. Order a PET scan. D. Order a skin biopsy.

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