Wound Care

Question 1

Epidermis

Answer 1

Stratum corner
stratum germinative
Crust, vesicle, bullae

Question 2

Dermis

Answer 2

Subcutaneous fat

Question 3

Hypodermis

Answer 3

Deep fascia, lymph, veins/arteries, muscle, bone, subQ fat

Question 4

Impetigo

Answer 4

Epidermis
Most commonly on face
"honey colored crusts"
benign
Oral or topical antibiotics/hygeine
Can treat empirically

Question 5

Cellulitis

Answer 5

Dermis/epidermis
Oral or IV antibiotics, consider MRSA if recently hospitalized
CBC for diagnosis
Risk of sepsis

Question 6

Skin abscess

Answer 6

dermis

Question 7

Necrotizing fasciitis

Answer 7

hypodermis

Question 8

Empirical treatment

Answer 8

Treat with clinical diagnosis only, no further testing necessary

Question 9

Folliculitis

Answer 9

Dermis/epidermis
Infection of hair follicle
Wash w/ soap and water
topical or oral abx
Can treat emperically

Question 10

Furuncle

Answer 10

Abscess of hair follicle (deeper than folliculitis)
Pustule forms
Staph aureus is common cause-treat with methicillin
Warm compress, I&D, oral antibiotics-ceph if no concern for MRSA otherwise Doxycycline or bactrim

Question 11

Indurated

Answer 11

hard and tender

Question 12

Fluctuant

Answer 12

palpable fluid collection (access) and tender

Question 13

What medications to use if MRSA suspected?

Answer 13

Doxycycline or Bactrim