Surgery-ID Flashcards

1
Q

Timeline of cause of postoperative fever (Immediate)

0-2hrs (3listed)

A
  • Prior trauma/infection
  • blood products
  • malignant hyperthermia
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2
Q

Timeline of cause of postoperative fever (acute)

24hr-1 wk (3 listed)

A
  • Nosocomial infection
  • Surgical site infection (group A streptococcus or Clostridium perfringens
  • noninfectious (MI, PE, DVT)
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3
Q

Timeline of cause of postoperative fever (subacute)

1wk-1month (4 listed)

A
  • Surgical site infection/ Catheter Site infection
  • C-diff
  • Drug fever
  • PE/DVT
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4
Q

Timeline of cause of postoperative fever (delayed)

>1 month (2 listed)

A
  • Viral infections

- indolent organisms

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5
Q

Intense pain in the wound, decreased sensitivity at the edges of the wound, cloudy-gray discharge, crepitus. NSIM

A

Early surgical exploration-debridement & parenteral antibiotics

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6
Q

Erythema and swelling, sever pain out of proportion to the physical examination and sign of tissue necrosis (crepitus, purulent drainage, or gas in the deep tissues), fever & hyptension. Dx? NSIM?

A
  • Necrotizing fasciitis

- Surgical debridement and broad-spectrum abx

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7
Q

Define postoperative fever

A

> 38c or 100.4F, after surgery, infectious or non-infections causes

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8
Q

The most frequent cause of nosocomial bloodstream infection in pt with intravascular devices

A

Coagulase-negative staphylococci (eg. Stap Epidermidis)

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9
Q

Prosthetic joint infection early onset (<3months), presentation? and organisms?

A
  • Acute pain, would infection/breakdown, fever

- Staph aureus, Gram neg rods, Anaerobes

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10
Q

Prosthetic joint infection delayed onset (3-12 months), presentation? and organisms?

A
  • Chronic joint pain, implant loosening, Sinus tract formation
  • Coagulase-neg staphylococci, Propionibacterium species, Enterococci
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11
Q

Prosthetic joint infection Late onset (>12 months), presentation? and organisms?

A
  • Acute symptoms in previously asymptomatic joint, recent infection at distant site
  • Staph aureus, Gram-neg rods, Beta-hemolytic strep
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12
Q

Painful swelling of the parotid gland that is aggravated by chewing after surgery. Dx? Tx?

A

Acute bacterial parotitis; prevention with adequate fluid hydration and oral hygiene

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13
Q

Common infectious agent for acute bacterial parotitis

A

Staph aureus

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