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53 Cards in this Set
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|
ERYSIPELAS
appearance |
bright red
well circumscribed face and legs |
|
ERYSIPELAS
caused by? |
Group A strep
|
|
ERYSIPELAS
Rx |
PCN G
|
|
FOLLICULITIS
caused by? |
Staph A- mupirocin locally
Pseudomonas aeruginosa (hot tub) Gram Neg rods (diabetes) |
|
IMPETIGO
buzz word for appearance |
Honey Crusts
|
|
IMPETIGO
caused by? |
Staph Aureus (including MRSA)
sometimes Strep pyogenes too |
|
IMPETIGO
Rx |
Strep: PCN
MSSA: Cephalexin MRSA: Doxycycline, Trim/Sulpha |
|
ECTHYMA
definition |
Deeper form of Impetigo that enters dermis
|
|
ECTHYMA
complications? |
can lead to Neutropenia which can lead to ecthyma gangrenosum
|
|
FURUNCLES AND CARBUNCLES
comparison |
Furuncle=painful pustule on follicle
Carbuncle= collection of furuncles |
|
FURUNCLES AND CARBUNCLES
typically seen in? |
diabetics
|
|
FURUNCLES AND CARBUNCLES
caused by? |
Staph Aureus
|
|
CELLULITIS
appearance? |
lower leg
not clearly demarcated red, warm, plaque |
|
CELLULITIS
Rx |
Local therapy (warm soaks, elevation)
Empirical Antibiotics |
|
CELLULITIS
caused by? |
Group A Strep
Staph Aureus H. Flu |
|
CELLULITIS
kickers for Strep? |
rapid onset
Tenia Pedis of toe lymphangitis leukocytosis |
|
CELLULITIS
kickers for Staph? |
Maybe Abscess
Subacute onset |
|
CELLULITIS
kickers for H. Flu? |
Face, head, and neck instead of legs
Typically in Kids Treat w/ ceftiaxone |
|
CELLULITIS
other causes? |
Aeromonas hydrophila
Vibrio vulnificus Pasteurella multocida Pseudomonas aeruginosa |
|
CELLULITIS
kickers for Aeromonas hydrophila? |
Gram Neg Rod
Fresh/Brackish Water can --> Fasciitis, myonecrosis, osteomyositis Rx w/ Cipro |
|
CELLULITIS
Vibrio vulnificus' kickers? |
Gram Neg rod
Chronic Liver Disease and Immunocompromised pts Shell Fish and Sea Water Rx w/ doxycycline and debridement |
|
CELLULITIS
Pasteurella multocida's kickers? |
Dog and Cat bites
Rapid onset Rx w/ amox/clav |
|
CELLULITIS
kickers for pseudomonas? |
puncture wounds through shoes
|
|
2 special types of CELLULITIS
|
Periorbital
Orbital |
|
Periorbital CELLULITIS
Kickers |
Pre-Septal
Eyelid, not eye, so no vision impariment Rx w/ amox/clav Little kids after UTI's |
|
ORBITAL CELLULITIS
kickers? |
Post-Septal
Involves Eye so can blind you or kill you Spreads from sinuses Sudden bad onset Rx w/ vanco or amp/sulb |
|
LUDWIG'S ANGINA
pathology? |
neck space infection
|
|
LUDWIG'S ANGINA
etiology? |
tooth infection spreading
|
|
LUDWIG'S ANGINA
sx's? |
brawny neck
protruding tongue |
|
Most common cause of abscesses?
|
Staph Aureus
|
|
who is associated w/ the "false spider bite?"
|
CA-MRSA
|
|
NECROTIZING FASCIITIS
Sx kicker? |
Anesthesia of involved skin
|
|
NECROTIZING FASCIITIS
caused by? |
Hemolytic strep (group A)
S. aureus (MRSA) Clostridium |
|
What is Fournier's Gangrene?
|
Necrotizing Fasciitis of male genitalia
seen w/ diabetes, trauma, paraphimosis, perirectal infections |
|
NECROTIZING FASCIITIS
Dx? |
MRI or CT for precise location
|
|
NECROTIZING FASCIITIS
Rx? |
aggressive surgical debridement
|
|
GAS GANGRENE
caused by? |
clostridium 80%
|
|
GAS GANGRENE
kicker sx's? |
foul smelling discharge
gas palpable in tissue |
|
GAS GANGRENE
rx? |
parenteral PCN in high doses
surgical debridement and exposure to air |
|
Who cause ulcerative lesions?
|
Anthrax
Actinomycetoma Tularemia Mycobacterium marinum Herpetic whitlow Hydradenitis suppurativa |
|
Kickers for anthrax?
|
Black eschar on ulcer
Rx w/ cipro, doxycycline |
|
where can you find actinomycetoma?
|
not in the US
|
|
Actinomycetoma kickers?
|
chronic, slow progression
gm pos branching hyphae Rx w/ TMP/SMO |
|
TULAREMIA
location |
extremity or eye
|
|
TULAREMIA
caused by? |
zoonotic infection (rodents/rabbits) via Francisellatularensis
|
|
TULAREMIA
sx's? |
lymph node involvement
|
|
TULAREMIA
rx? |
Streptomycin
gentamycin |
|
where do you get MYCOBACTERIUM MARINUM
|
swimming pool
fish tanks non-chlorinated water |
|
MYCOBACTERIUM MARINUM
dx rx |
Dx: AFB Stain
Rx: doxy or mino-cycline tmp/smo |
|
HERPETIC WHITLOW
what environment? |
occupational hazard
|
|
HERPETIC WHITLOW
rx? |
oral valaciclovir (about suppression)
|
|
HYDRADENITIS SUPPURATIVEA
appearance? |
boils in places you don't want boils thanks to keratin plug of apocrine sweat glands
|
|
HYDRADENITIS SUPPURATIVEA
rx? |
Amox/clav
maybe surgical excision if really bad |
