Skin/Soft Tissue (Exam #3) Flashcards
What is a common pathogen associated with animal bites? What other two pathogens might be suspected?
Pasteurella
- Staph
- Strep
If you measure a human bite, what classifies it as “adult”?
Maxillary inter-canine is 2.5+ cm
What three pathogens should be suspected with a human bite?
- Eikenella Corrodens
- GAS
- Staph
For a wound, under what two conditions are prophylactic abx NOT recommended?
WITHOUT SUTURES
- Small
- Uncomplicated
For a wound, under what two conditions are prophylactic abx recommended?
- Puncture wound
- Lac requires sutures
What is the most common cause of a plantar puncture wound?
Ya stepped on a nail
Under what five conditions would prophylactic abx be considered for a human bite?
- Deep
- Moderate/severe bite
- Underlying venous/lymph damage
- Needs suture closure
- IC
What four things should always be performed for a needle stick?
- IMMEDIATE cleanse
- Report
- Document
- Check HIV status
Under what four conditions is laceration closure CI?
- Contaminated
- 12+ hours old
- FB present
- Involvement of tendons/nerves/arteries
WHAT ARE THE THREE ABSORBABLE SUTURES?
- Vicryl
- PDS
- Chromic gut
What are the skin tension lines called?
Langer lines
What is the general rule for suture removal?
Sutures remain in place longer the more distal the wound
- Ex. face = 5 days, fingertips/toes = 10-14 days
What is the recommended recheck for suture placement?
24-48 hours
What are the two most common pathogens associated with Cellulitis? What is the most common pathogen if IC?
- GAS
- Staph aureus
If IC = Pseudonomas
What are the four cardinal signs of Cellulitis?
- Erythema
- Warmth
- Pain
- Swelling
What is the mainstay tx for Cellulitis? What other three classes of abx may be considered?
B-Lactams (Amoxicillin for 10-14 days)
- Cephalosporins
- Macrolides
- Fluoroquinolones
For Cellulitis, what two conditions should be met to consider OP tx?
- Mild/local sxs
- NO systemic sxs
For Cellulitis, what three conditions warrant IP tx?
- Facial/periorbital
- IC
- Comorbidities
What three things increase your risk for Abscess?
- IC
- Break in skin
- Staph aureus carrier
What pathogen should be considered if recurrent Abscess?
MRSA
What is the most common pathogen associated with Infected Burns?
Staph aureus
With an Infected Burn and sepsis/shock present, what two abx should be considered?
Systemic abx
- Piperacillin
- Carbapenem
With an Infected Burn and cellulitis present, what two abx should be considered?
- IV Cefazolin
- IV Clindamycin
What is affected and what is spared with Necrotizing Fasciitis?
Spreads along fascia
- Muscle SPARED
What condition involves severe pain in abdominal wall that migrates to the gluteus, scrotum and penis?
Fournier’s Gangrene
What is the recommended tx for Fournier’s Gangrene (2)?
- Surgical debridement
- Broad-spectrum abx
