spread of infection Flashcards

1
Q

what is an infection?

A

a disease caused by microorganisms

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2
Q

what are the 5 signs of acute inflammation?

A

redness, heat, swelling, pain, loss of function

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3
Q

what does the infection outcome depend on?

A

virulence, host defence, local anatomy, treatment

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4
Q

what may affect immune status?

A

age, stress, pregnancy, pathology, nutritional state, drug therapies

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5
Q

what types of odontogenic infection are there?

A

pulpitis, caries, periapical periodontitis, periodontal abscess, pericoronitis, osteomyelitis

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6
Q

in what order do you manage infection?

A

control infection and pain, remove cause, review and consider referral

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7
Q

what does a completely discoloured tooth suggest?

A

suggests loss of vitality and bacterial toxins engrossing into dentinal tubules

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8
Q

what is the correct treatment for an abscess with a poor blood supply?

A

drainage and removal of cause

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9
Q

what method do we use to drain soft tissue abscesses?

A

hiltons method

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10
Q

why use blunt dissection for soft tissue and extra oral abscesses?

A

to break up locals of pus

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11
Q

name 3 supportive measures for infection?

A

monitor fluid intake rest and diet

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12
Q

why is metronidazole usually the antibiotic of choice for abscesses?

A

usually anaerobic bacteria

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13
Q

what is cellulitis?

A

diffuse inflammation of the soft tissues that is not circumscribed to the one area but tends to spread through tissues spaces along fascial planes

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14
Q

fascial tissue planes

A

primary maxillary spaces
primary mandibular spaces
cervical fascial planes

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15
Q

what would periapical infection of an upper canine present like?

A

infraorbital swelling with inability to move eye, high fever, pain around eyes, fatigue and possible vision loss

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16
Q

what may untreated infection in the canine space result in?

A

meningitis, sepsis etc

17
Q

what would infection of the buccal space present as clinically?

A

cheek swelling

18
Q

what would infection in the infra temporal space present like clinically?

A

severe trismus, bulging of temporals and cavernous sinus thrombosis

19
Q

what does the cavernous sinus contain?

A

internal carotid, abducence nerve, oculomotor nerve, trochlear nerve, trigeminal 1+2

20
Q

what would infection in the submittal space present like clinically?

A

firm swelling under chin and discomfort on swallowing

21
Q

what would infection in the submandibular space look like clinically?

A

firm swelling in that region and truisms

22
Q

what would infection in the sublingual space look like?

A

intra-oral swelling - FOM

23
Q

what are the cervical fascial spaces?

A

lateral pharyngeal space, prevertibral space, retropharyngeal space

24
Q

what is ludwig angina?

A

severe cellulitis involving submandibular, submittal and sublingual spaces

25
Q

what are the symptoms of ludwig angina?

A

board like swelling of FOM causing truisms and dysphagia, glottal oedema and mediastinitis