Intrabdominal Infection Flashcards

1
Q

What are the symptoms of an intra-abdominal infection?

A
Pain
Tenderness
Change in bowel habits
Pyrexia
Rigors
Nause/emesis
Anorexia
Malaise
Lethargy
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2
Q

Severe sepsis can cause secondary organ dysfunction, what happens to each organ?

A
Brain - Confusion
Lungs - Adult repsiratory distress syndrome
Heart - Hypotension
Liver - Dysfunction
Kidney - Acute kidney injury
Vascular - Widespread clotting
Acid/base balance - Metabolic acidosis
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3
Q

How do you treat sepsis?

A

Fluids
Antibiotics
Oxygen

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4
Q

What is the correct name for an infection of the blood stream?

A

Bacteraemia

or Fungaemia

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5
Q

What can cause community acquired bacteraemia?

A

E.Coli
Staph Aureus
Strep Pygoenes

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6
Q

What can cause hospital acquired bacteraemia?

A
E.Coli
Staph Aureus
Coagulase negative Staph
Enetercoccus
Pseudomonas aeurignosa
Candida spp.
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7
Q

What common bacteria can you find in the mouth?

A

Strep viridans
Candida sp.
Staph
Anaerobes

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8
Q

What bacteria can you commonly find in the colon?

A

Coliforms and anaerobes

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9
Q

Which antibiotics do you use for intra-abdominal infections?

A

IV Amoxcillin + Metranidazole + Gentamicin

Then step down to PO Co-trimoxazole + Metranidazole

Vancomycin used for penicillin allergy

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