Skin infections Flashcards

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1
Q

Which bacteria causes impetigo?

A

staph aureus

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2
Q

Which bacteria causes erysipelas?

A

group A strep

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3
Q

Which sign is indicative of erysipelas on the face?

A

butterfly appearance

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4
Q

List three modifiable risk factors for cellulitis

A

ulcers, eczema, comorbidities e.g. T2D, lymphoedema

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5
Q

List two non modifiable risk factors for cellulitis

A

pregnancy, bites, trauma, tattoo

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6
Q

In which region of the body is cellulitis an acute concern?

A

facial cellulitis, especially orbital or periorbital cellulitis

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7
Q

How can you differentiate necrotising fasciitis and cellulitis?

A

initial pain becomes painless, rapid spread, systemically unwell, dusky skin and necrosis, may have skin crepitus

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8
Q

What is the management of necrotising fasciitis?

A

SURGICAL DEBRIDEMENT (plus use five antibiotics: penicillin, fluclox, clindamycin, gentamicin, metronidazole)

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9
Q

What is the management for impetigo?

A

flucloxacillin

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10
Q

How does scarlet fever present and in who?

A

red blush appears on second day of infections, starts on upper chest and spreads to trunk, neck and extremities. Whiteness around mouth. White strawberry tongue. Presents in children

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11
Q

Which is the main organism responsible for infection in animal bites?

A

pasteurella- gram negative

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12
Q

Name two examples of non-bacterial rashes and soft tissue infections caused by viruses

A

erythema infectiosum, handfootandmouth disease, measles, HSV, chickenpox, shingles

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13
Q

Fungus causing

rash agent?

A

tinea= ringworm

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14
Q

What are the features of measles?

A

white spots on tongue (koplik spots), red rash starts on face and spreads downwards

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15
Q

What are complications of measles?

A

pneumonia and encephalitis

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16
Q

Which organism causes chickenpox?

A

varicella zoster virus

17
Q

Which virus causes shingles?

A

herpes zoster

18
Q

Name two agents that cause cellulitis

A

beta haemolytic strep

staph aureus

19
Q

What are the clinical signs and symptoms of cellulitis

A

deeper and less well define lesions than erysipelas
pain, swelling, erythema, warmth
systemic upset
+- lymphadenopathy

20
Q

Patient has cellulitis but has a penicillin allergy. Which abx do you give them?

A

clindamycin

21
Q

Empirical treatment for cellulitis?

A

fluclox

22
Q

Confirmed strep cause of cellulitis. Which abx do you give them?

A

benpen or pen V

23
Q

Which abx for nec fasciitis?

A

penicillin, fluclox, met, gent, clindamycin