ISBAR. I - Yo ENT surgeon, I’m Alex, a GP. S – I have a 34 year old male with a three week history of hoarse voice. Patient has right cervical and left axillary lymphadenopathy . B – He is usually well, no significant medical history, none smoker, and no medication.
You remember that three weeks ago you had another patient with what was thought to be cellulitis, but he didn’t get better.
Realistically, the biopsy shouldn’t happen, the chances of it being necrotising fasciitis are just way too low.