Skin/Soft Tissue (Exam #3) Flashcards

1
Q

What is a common pathogen associated with animal bites? What other two pathogens might be suspected?

A

Pasteurella

  • Staph
  • Strep
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2
Q

If you measure a human bite, what classifies it as “adult”?

A

Maxillary inter-canine is 2.5+ cm

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3
Q

What three pathogens should be suspected with a human bite?

A
  • Eikenella Corrodens
  • GAS
  • Staph
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4
Q

For a wound, under what two conditions are prophylactic abx NOT recommended?

A

WITHOUT SUTURES

  • Small
  • Uncomplicated
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5
Q

For a wound, under what two conditions are prophylactic abx recommended?

A
  • Puncture wound

- Lac requires sutures

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6
Q

What is the most common cause of a plantar puncture wound?

A

Ya stepped on a nail

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7
Q

Under what five conditions would prophylactic abx be considered for a human bite?

A
  • Deep
  • Moderate/severe bite
  • Underlying venous/lymph damage
  • Needs suture closure
  • IC
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8
Q

What four things should always be performed for a needle stick?

A
  • IMMEDIATE cleanse
  • Report
  • Document
  • Check HIV status
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9
Q

Under what four conditions is laceration closure CI?

A
  • Contaminated
  • 12+ hours old
  • FB present
  • Involvement of tendons/nerves/arteries
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10
Q

WHAT ARE THE THREE ABSORBABLE SUTURES?

A
  • Vicryl
  • PDS
  • Chromic gut
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11
Q

What are the skin tension lines called?

A

Langer lines

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12
Q

What is the general rule for suture removal?

A

Sutures remain in place longer the more distal the wound

- Ex. face = 5 days, fingertips/toes = 10-14 days

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13
Q

What is the recommended recheck for suture placement?

A

24-48 hours

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14
Q

What are the two most common pathogens associated with Cellulitis? What is the most common pathogen if IC?

A
  • GAS
  • Staph aureus

If IC = Pseudonomas

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15
Q

What are the four cardinal signs of Cellulitis?

A
  • Erythema
  • Warmth
  • Pain
  • Swelling
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16
Q

What is the mainstay tx for Cellulitis? What other three classes of abx may be considered?

A

B-Lactams (Amoxicillin for 10-14 days)

  • Cephalosporins
  • Macrolides
  • Fluoroquinolones
17
Q

For Cellulitis, what two conditions should be met to consider OP tx?

A
  • Mild/local sxs

- NO systemic sxs

18
Q

For Cellulitis, what three conditions warrant IP tx?

A
  • Facial/periorbital
  • IC
  • Comorbidities
19
Q

What three things increase your risk for Abscess?

A
  • IC
  • Break in skin
  • Staph aureus carrier
20
Q

What pathogen should be considered if recurrent Abscess?

21
Q

What is the most common pathogen associated with Infected Burns?

A

Staph aureus

22
Q

With an Infected Burn and sepsis/shock present, what two abx should be considered?

A

Systemic abx

  • Piperacillin
  • Carbapenem
23
Q

With an Infected Burn and cellulitis present, what two abx should be considered?

A
  • IV Cefazolin

- IV Clindamycin

24
Q

What is affected and what is spared with Necrotizing Fasciitis?

A

Spreads along fascia

- Muscle SPARED

25
What condition involves severe pain in abdominal wall that migrates to the gluteus, scrotum and penis?
Fournier's Gangrene
26
What is the recommended tx for Fournier's Gangrene (2)?
- Surgical debridement | - Broad-spectrum abx