Skin Soft Tissue Infection Flashcards
Joe G is a 54 man who presents to the ED with a 2 day history of left lower extremity edema, redness, and pain that limits his normal daily activities. How should this patient be treated?
PE:
T: 38C, BP: 148/92 HR 88, RR 18,
Labs: Na 138, K 4.4, BUN 18, SCr 0.9, WBC 16000 Hbg: 13
A. I& D and Vancomyicin
B. I & D only
C. Just Penicillin G
D. Just Penicillin VK
A. I&D and Vancomycin
Patient has a T of >38 and WBC count is 16000
Don Arnoldo is a 65 yo man who was bitten in his leg by a dog while walking in the park. His wounds are infected. He has uncontrolled type 2 diabetes for the past 5 years, for which he takes metformin 1gm PO BID. He developed hives when he received sulfa drugs. In addition to cleasing and irrigation, which one of the following is the most appropriate treatment for this patient.?
PE: T 40, BP 130/90, HR 82, RR 18
LABS: Na 139 K 4.3 BUN 19 SCr 1 WBC 11000
A. I&D only
B. I&D and Bactrim
C. I&D and Doxycycline
D. Penicillin VK
C I&D and Doxycycline
Patient is Moderate due to a temperature of 40 and he has a sulfa allergy
Petra is a 63 yo woman who presents to the ED with a small lesion close to her small toe that is macerated and foul smelling. The erythema is close to 3 cm around the ulcer. She thinks she might have steped on a nail while walking on the beach in south Florida. Petra is admited to the hospital for IV antibiotic administration and nasal swab is positive for MRSA. In addition to I and D which of the following is the most appropriate empiric antibiotic treatment for Petra.
PE: T 38.2 BP 145/90 HR: 92 RR 19
Labs: Na 139, K 4.3, BUN 19, SCr 1, WBC 140000
A. Levofloxacin and Vancomycin
B. Zosyn
C. Zosyn and Flagyl
D. Zosyn and Vancomycin
D. Zosyn and Vancomycin
This patient is severe due to high WBC count and tachycardia. The patient is already having I and D done so for severe purulent we give vancomycin and we add zosyn for MRSA
A 45 yo presents to get chemothheray and the nurse notices she has avesicle and pustules on the left side of the forehead, a few lesions on the left side of the nose. All labs are WNL. How should this patient be treated?
A. I& D and Vancomycin
B. I&D and Doxycycline
C. I&D and Vancomycin with some Pip-Tazo
D. I&D and Penicillin G with some Vancomycin
A. I&D and Vancomycin
This patient is severe because she is on chemotherapy
Plutarco is an 18 man who presents to the clinic with a small purulent tender mass on his thigh that looks like a spider bite. The middle of the lesion is filled with puss and debris. The area is painful and warm to the touch. Plutarco has no chill and no other complaints. He works with his dad is marrying the boss’s daughter. Which of the following is the most likely cause of Plutarco’s clinical presentation?
PE T 37, BP 120/70, HR 60, RR 16
A. Clostrodium perfrigens
B. Methicillin Staphylococcus aureus
C. Methicillin Sensitive Staphyloccous aureus
D. Streptococcus pyogenes
C. MRSA
Plutarco is an 18 man who presents to the clinic with a small purulent tender mass on his thigh that looks like a spider bite. The middle of the lesion is filled with puss and debris. The area is painful and warm to the touch. Plutarco has no chill and no other complaints. He works with his dad is marrying the boss’s daughter. Which of the following is the best to recommend to Plutarco?
PE T 37, BP 120/70, HR 60, RR 16
A. Clindamycin
B. Incision and Drainage
C. Penicillin G and Clindamycin
D. Penicillin VK
B. Incision and Draining
Manny Manuel is a 40 yo man admitted to the hospital for the management of an infection on the right side of this face. The area is red, elevated and clearly demarcated. He thinks he may have scratched his face a couple of days ago. Which of the following is the best recommendation for Manny.
PE: T 38.6, BP 135/80, HR 80, RR 17
Labs: Na 140, K 4.2, BUN 20, SCr 1.1, WBC 17000
Allegies: Anaphylatic schock caused by penicillin VK when he was 11.
A. Aztreonam
B. Cefazolin
C. Bactrim
D. Vancomycin
