Necrotizing Fascitis Flashcards

1
Q

Is NF commonly seen in males or females

A

Males
10:1

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2
Q

What are the causes of necrolizing fasciitis

A

Urethra strictures
Urethra injuries
Indwelling catheter

Perirectal/ischiorectal abscesses
Anorectal procedures
Cutaneous infection/ trauma

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3
Q

What medical conditions predispose you to NF

A

Chronic alcoholism
DM
Immunocompromised (HIV/AIDS, steroids)
Chemo
Transplant
Malnutrition

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4
Q

What organisms are commonly associated with NF

A

Anaerobes and aerobes
Ecoli
Bacteroides
Strep
Staph
Peptostreptococci
Clostridia

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5
Q

What causes tissue destruction in NF

A

Ischemia
Synergistic action of various bacteria
Production of enzymes and proteins by organisms (hyaluronidase, coagulase)

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6
Q

What emergent therapies assist in wound healing for NF

A

Unprocessed honey
Vacuum assisted closure

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7
Q

What to do if a pt with NF deteriorates after having surgical debridementb

A

Hyperbaric Oxygen Therapy

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