A cattle farmer who arrived two days ago from Thailand presents to your office with a painless black vesicle on his left hand. He reports that symptoms started roughly four days ago and reports several of his animals had been sick before he left his farm. The patient denies symptoms like this in the past and reports his animals are behind on routine antibiotics and vaccinations. Patient has an oral temperature of 100.9 F, heart rate of 110 bpm, blood pressure 100/80 mmHg, and respiratory rate of 20/minute. What is the next step in management?

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