Skin and Soft tissue Infections Flashcards

1
Q

What is the common cause of impetigo?

A

Strep Pyo, Staph aureus

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2
Q

What is the common cause of Erysipelas?

A

Strep Pyo

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3
Q

What is the common cause of Folliculitis, furuncle?

A

Staph Aureus

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4
Q

What is the common cause of Cellulitis ?

A

Strep Pyo, Staph Aureus

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5
Q

What are the Primary Pyoderms?

Shallow to Deep

A
Impetigo
Folliculitis
Furuncles/Carbuncles
Erysipelas
Cellulitis
Necrotizing cellulitis/fasciitis
Chancriform/Chronic nodular lesions
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6
Q

What causes Hot tub folliculitis?

Treatment?

A

Pseudomonas

Spontaneous Resolution

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7
Q

What is the Treatment of Non-Purulent cellulitis (Superficial SSTI)

A
  1. first gen cephalosporin,
  2. anti staph penicillins
    Risk for MRSA?
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8
Q

What is the common location of a carbuncle?

A

The back of the neck

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9
Q

What is the Treatment of Purulent Superficial SSTI

A
  1. Vanco IV,
  2. TMP-SMX,
  3. Clindamycin,
    DRAINAGE is KEY
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10
Q

What are the causes of Necrotizing Cellulitis/Fasciitis?

A

Clostridium Perfringens
GAS (Strep Pyo)
Polymicrobial Nec Fasc
MRSA

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11
Q

What are the clinical features of Nec Fasc?

A
Severe, Constant pain
Bullous Lesion
Systemic Toxicity- Mental Status
Gas in soft tissue
Rapid Spread
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12
Q

What are the sources of Clostridial Infection?

A

Tissue Trauma

Bacteremic Spread

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13
Q

What are the causes of Chancriform/Chronic Nodular Lesions?

A
Sporothrix
Mycobacterium
B. Anthracis
Francisella
Other: Nocardia, leishmania
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14
Q

What are the most common causes of Septic Arthritis?

A
Staph aureus Most Common
Staph Epi if prosthetic joint
Strep A and B 
G- Bacteria
Eiknella- Human bite
Pasturella- Cat Bite
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15
Q

What are the clinical Features of Septic Arthritis?

A

Monoarticular 80-90%
Knee 50%
Fever in 60-80%
Focal Joint tenderness, inflamm, effusion, limited and painful motion

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16
Q

How is synovial Effusion Classified?

A

Normal: Clear, viscous 60k WBC

17
Q

If a sexually active person has joint pain what is the probable cause?

A

Neisseria Gonnorhea

Do a Cervical swab and culture

18
Q

What are the antibiotics used for Septic Arthritis?

A
N. Gonorrhea: 3G Ceph or Fluoro
S. Aureus: Nafcillin, 1G Ceph or Vanco
GAS: PCN or Ceph
G- : Ceph, Fluoro, Carbapenem
IV therapy for 2-4 weeks
19
Q

What are the common causes of Contiguous Osteomyelitis?

A

Post-traumatic
Peripheral Neuropathy (step on)
Vascular insufficiency
Pressure Ulcers

20
Q

How is Osteomyelitis Diagnosed?

A
Bone Probe***
Radiography
Nuclear Med scan
CT
MRI***
PET
Bone Biopsy***
Need to ID Microbe!!!
21
Q

What is the most common cause of Puncture wound Osteomyelitis

A

Pseudomonas Aeruginosa

22
Q

What is the Treatment of Acute Osteomyelitis?

A

Abtx
Surgical sampling
Debriedment

23
Q

What is the Treatment of Chronic Osteomyelitis?

A

Surgical Debriedment

Antibiotics: Broad Spectrum