Chpt 71: Amputation

Question 1

Albumin level of _____ and prealbumin level of _____ indicates adequate healing

Answer 1

> 3.5 and >10

Question 2

For adequate wound healing:

hemoglobin ___
Doppler ultrasound
ABI

Transcutaneous oxygen pressure; what indicates poor healing time

Answer 2

Hgb: 10
US: 70
ABI: >0.45
TCPO2: 40; 20- poor healing potential

Question 3

TMA parabola?

Answer 3

2,3,1,4,5

Question 4

Most common water organism for puncture wounds?

Answer 4

Vibrio micro bacterium and aeromonus

Question 5

Golden period for treatment of puncture wound?

Answer 5

24 hours

Question 6

TIG given to tetanus-prone wounds vs severe neglected wounds?

Answer 6

tetanus-prone wounds: 250 units

severe neglected wounds: over 24 hrs give 500 units IM

Question 7

Delay for osteomyelitis changes on XR?

Answer 7

14 days

Question 8

Which imaging modality is best for a wood foreign body?

Answer 8

MRI

Question 9

Most common organism in paronychia?

Answer 9

staph aureus

Question 10

Most common organism for osteomyelitis in a sickle cell patient?

Answer 10

salmonella

Question 11

Most common organism for puncture wound osteomyelitis?

Answer 11

pseudomonas

Question 12

Most common organism in puncture wound cellulitis?

Answer 12

s. aureus

Question 13

Most common organism for acute burn wounds? chronic burn wounds?

Answer 13

Acute: s. aureus
Chronic: pseudomonas

Question 14

Most common organism for Erysipelas?

Answer 14

Group A strep

Question 15

Antibiotics that are excreted by the liver? (4)

Answer 15

Erythromycin
Clinda
Tetracyclines
Bactrim

Question 16

Culture/test for fungi?

Answer 16

KOH, Acid-schiff stain

Question 17

Culture/test for virus?

Answer 17

Tzanck stain

Question 18

A WBC of ? should make you suspicious that it is an infected joint?

Answer 18

50-100k with >90% neutrophils

Question 19

Duration and route of antibiotic therapy if there is no residual infected tissue?

Answer 19

PO or IV 2-5 days

Question 20

Duration and route of antibiotic therapy with residual infected soft tissues but not bone?

Answer 20

PO or IV 1-3 weeks

Question 21

Duration and route of antibiotic therapy for residual infected by viable bone?

Answer 21

IV then PO for 4-6 weeks

Question 22

Duration and route of antibiotic therapy with no surgery or residual dead bone post-op?

Answer 22

IV then PO for 3months

Question 23

Which antibiotics are best for penetrating biofilm? (4)

Answer 23

Daptomycin
Minocycline
Tigacycline
Linezolid

Question 24

What oral antibiotics have high bioavailability? (6)

Answer 24

fluoquinolones
Bactrim
Clinda
Doxy
Minocycline
Linezolid