Infectii B Flashcards

1
Q

Etiologia celulitei bacteriene?

A

Str. de grupa A

Stf. auriu MRSA (RAR)

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2
Q

Factorii de risc ai celulitei?

I DID CUT CELLULITIS

A

ID
droguri IV
poarta de intrare (chir, ulceratie, trauma)
ep ant de celulita

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3
Q

Rata de recurenta in celulita?

A

20-50%

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4
Q

Etiologia abcesului cutanat?

A

Stf. auriu MRSA (de obicei)

Anaerobii (ce dau abcese lombare si perineale)

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5
Q

Etiologia fasceitei necrozante?

A

polimicrobiana

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6
Q

Etiologia gangrenei?

A

1) insuf vasculara

2) blocaj vasc acut/inf cu Cl perfingens

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7
Q

Etiologie impetigo?

A

Stf. MSSA

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8
Q

Etiologie acnee vulgara?

A

APA-obstructie foliculara
adolescenta
propionibacterium acnes
androgeni

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9
Q

Ce e celulita?

A

inf derm, hipoderm

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10
Q

Ce e abcesul?

A

colectie in hipoderm

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11
Q

Ce e fasceita?

A

inf fascii, t moi, sistemic

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12
Q

Ce e gangrena?

A

necroza tisulara

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13
Q

Ce e impetigo?

A

inf contagioasa a pielii la copil

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14
Q

Ce e acneea vulgara?

A

inf foliculi pilosi

gl. sebacee

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15
Q

Clinica sugestiva pt celulita

A

semne celsiene + orif de intrare

+- frison, mialgii, limfangita, limfadenita

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16
Q

Clinica sugestiva pt abces

A

semne celsiene + fluctuenta centrala

17
Q

Clinica sugestiva fasceita

A

rapid progresiv!!!

semne celsiene + fen sistemice + durere, parestezii, anestezii + bule violete cu crepitatii

18
Q

Clinica gangrena

A

1) uscata: piele uscata + indurata
2) umeda: bule, tumef, crep

+ durere!! + miros fetid + hTA

19
Q

Clinica impetigo

A

copii, contag

eritem + CRUSTE GALBENE CA MIEREA

20
Q

Acnee vulgara

A

papule
pustule
noduli

fata, gat, torace (A+P)

21
Q

Ex paraclinic in celulita

A

probe inflam

21
Q

Ex paraclinic in celulita

A

probe inflam

22
Q

Ex paraclinic abces

A

probe inflam

culturi (sever)

23
Q

Ex paraclinic fasceita

A

probe + culturi + rx, ct

24
Q

Ex pc in gangrena

A

culturi + rx, ct, angio, angio-rm

25
Q

Ex pc in impetigo

A

nu ai

26
Q

Ex pc in acnee

A

nu ai

27
Q

Trat celulita

A

O: cefalosp, beta-lactamice rez la pen

IV: sever

IV MRSA: VLC ( vanco. linezolid, cotrimoxazol_

28
Q

Trat abces

A

incizie + drenaj

MRSA: cotrimoxazol

29
Q

Trat fasceita

A

debridare, incizie, drenaj + AB IV cu spectru larg

30
Q

Trat gangrena

A

debridare, incizie, drenaj, amputatie + AB

31
Q

Trat impetigo

A

topic: MUPIROCIN

oral (sever): dicloxacilina, cefalexina

32
Q

Trat acnee vulgara

A
R
AB+R
PB+AB+R
Contraceptive
Isotret
33
Q

Complic celulita

A

abces
fasceita
sepsis

34
Q

Complic abces

A

tr. sinus cavernos (facial)

sepsis

35
Q

Complic fasceita

A

SDR DE COMPARTIMENT
sepsis
mortalitate 25%

36
Q

Complic acnee

A

cicatrici permanente