### Patient: Hey Doctor, I think I have impetigo. It's been spreading and the affected areas are itchy and painful.
### Doctor: Alright, to confirm the diagnosis and determine the severity, we need to perform a complete physical skin exam, as well as a microscopic examination of your skin cells to detect any bacterial infections through a bacterial smear, a culture test, and a toxicology test. We also need to do a wound culture test, and it would be best to refer you to a home health care service for proper care and management.