Cellulitis

Question 1

Sypmtoms of cellulitis

Answer 1

The infected area is characterized by
* pain,
* warmth,
* swelling, and
* erythema.

• Blisters and bullae may form.
• Fever,
• malaise,
• nausea, and
• rigors
• may accompany

Question 1

What infection locations warrant a referral?

Answer 1

Near the** eyes or nose,**

or if spreading and not responding to oral antibiotics.

Question 2

When should you refer a person with cellulitis to a hospital?

Answer 2

Signs of
* necrotizing fasciitis,
* orbital cellulitis,
* osteomyelitis,
* sepsis,
* septic arthritis,
* systemic illness,
* unstable comorbidities,
* limb-threatening infections, or
* severe immunocompromise.

Question 3

What are signs of systemic illness in cellulitis patients?

Answer 3

• Confusion
• tachycardia
• tachypnea
• hypotension

Question 4

How can leg swelling be managed in cellulitis patients?

Answer 4

Elevate the leg for comfort and to relieve edema

Question 5

Consider referring if the patient is…?

Answer 5

Severely unwell,
elderly,
very young,
immunocompromised

Question 6

What is the first-line treatment for acute cellulitis in** primary care in adults**??

Answer 6

Oral Flucloxacillin 500 to 1000 mg four times daily for 5–7 days.

Question 7

Why should you mark the margins of the infection?

Answer 7

To monitor the progress of the cellulitis

Question 8

What pain relief medications can be recommended for cellulitis?

Answer 8

Paracetamol or ibuprofen

Question 9

What preventative advice should be given to people with cellulitis?

Answer 9

• Weight management,
• foot care for diabetics, and
• use of emollients for dry skin

Question 10

Are compression garments recommended during acute cellulitis?

Answer 10

No, avoid using compression garments.**

Question 11

When should a patient seek medical help regarding cellulitis symptoms?

Answer 11

• If symptoms worsen rapidly
  (like unbearable pain- necrozitan faciit)
  or
• If symptoms do not improve within 2–3 days.

Question 12

What antibiotic can be prescribed if a patient has a penicillin allergy?

Answer 12

Clarithromycin 500 mg twice daily for 5–7 days

Question 13

Which antibiotic is safe to use in pregnant patients with cellulitis?

Answer 13

Erythromycin 500 mg four times daily for 5–7 days

Question 14

How should you find out if a patient is stable or unstable?

Answer 14

Do you feel dizzy
Do you have shortness of breath
Do you feel tired
Do you have palpitation
KAN BASICNINI ÖLÇ

Question 15

When is hospital admission necessary for cellulitis?

Answer 15

If the patient is hemodynamically unstable or severely unwell.

Question 16

When should you reassess a person on oral antibiotic treatment?

Answer 16

After 2-3 days

Question 17

When should you refer a patient to a hospital?

Answer 17

If the infection is spreading and not responding to oral antibiotics.

Question 18

Please come back if ….

Answer 18

if you do not start to feel better 2 to 3 days after starting antibiotics.

Question 19

Things you can do to help with cellulitis

Answer 19

taking paracetamol or ibuprofen for the pain

raising the affected body part on a pillow or chair when you’re sitting or lying down, to reduce swelling

regularly moving the joint near the affected body part, such as your wrist or ankle, to stop it getting stiff

drinking plenty of fluids to avoid dehydration

not wearing compression stockings until you’re better

Question 20

You can reduce the chances of getting cellulitis again by…

Answer 20

keep skin clean

Keep skin well moisturized

cleaning any cuts or wounds and using antiseptic cream

Cover if u have skin cuts

if working outside, wear flovest

Question 21

Call 999 or go to A&E if:

Answer 21

If you dont recognize any improvement in 2 days.

You have cellulitis with:

a very high temperature, or you feel hot and cold at the same time

a **fast heartbeat

fast breathing

feeling dizzy

confused

cold or pale skin

loss of consciousness**

Question 22

You’re more at risk of cellulitis if you have

Answer 22

have poor circulation in your arms, legs, hands or feet, for example, because you’re overweight or PREGNANT find it difficult to move around

have a weakened immune system: **KT,RT, DM, steroid **

have lymphoedema, which causes fluid build-up under the skin

inject drugs

have a wound from surgery

Have **athlete’s foot **

• **trauma: insect bite,burn, laceration, surgery
• skin ulcers,

*atopic eczema

• Obesity
• Venous insufficiency**

Question 23

Selulit muayenesinde yapman gerekenler

Answer 23

hem deriye bak
hem gland muayenesi
yap

Question 24

Rutin hikaye alma sorularına ek olarak sorabileceğin sorular

Answer 24

Any recent hospital stay
Any recent antibiotic treatment
Any sport activities

Question 25

Hangi koşullar altında tedaviye başlamadan önce swab ile örnek alalım

Answer 25

• Derisinde çatlak varsa
• Bir süre önce hastanede yatmışsa (MRSA olabilir)
• Yakın zamanda seyahat etmişse (farklı bir etken olabilir)

Question 26

Lovaan - selülit vakası hikayesi

Answer 26

bacağını böcek ısırmıl ve kızaıp şişmiş
Penislin alerjisi olacak
ateşi olabilir (ps)