Wounds Flashcards

1
Q

Furuncle/ carbuncle- Eti

A
  • Primary cutaneous abscess originating from glands and hair follicles- Furuncles most common surgical infection- Immunodeficient pts- Staph and anaerobes
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2
Q

Furuncle/ carbuncle- Sx

A
  • Red to white to necrosis- Boils- Itch- Regional lymphadenopathy- Funruncles to carbuncles- Carbuncles- Deep seated mass of fistulous tracts
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3
Q

Furuncle/ carbuncle- Tx

A
  • Furncle- Drainage- Carbuncle- Excision and abx
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4
Q

Cellulitis- Eti

A

Connective tissue infection- PMNs- Strept or staph

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5
Q

Cellulitis- Sx

A
  • Brawny reddish brown skin- Edematous- Surgical wound site as portal of entry-High fever - Lymphangitis
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6
Q

Cellulitis- Tx

A
  • Rest, elevation- Abx- Warm packs
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7
Q

Pyomyositis- Eti

A
  • Skeletal muscle infection- S. aureus and GAS
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8
Q

Gas gangrene- Eti

A
  • Clostridium species
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9
Q

Wound infection- Eti

A
  • Staph or strept infection during procedure- 3rd most common infection
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10
Q

Wound infection- Timeline

A

5-10 days post op

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11
Q

Wound infection- Sx

A
  • Fever- Erythema, pain, warmth at surgical site
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12
Q

Wound infection- Tx

A
  • Open wound and drain- Abx if invasive
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13
Q

Pyomyositis- Sx

A
  • Severe muscle edema- Compartment syndrome- Necrosis- Skin change
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14
Q

Pyomyositis- Dx

A

CT

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15
Q

Pyomyositis- Tx

A
  • Drainage- Abx
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16
Q

Gas gangrene- Sx

A
  • Red-brown skin sloughing off- Rapid progression- Foul smell- Discharge and gas bubbles
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17
Q

Gas gangrene- Timeline

A

6 hrs - 4 days

18
Q

Gas gangrene- Tx

A
  • Urgent surgical debridement- Amputation- Hyperbaric o2
19
Q

Necrotizing fasciitis- Eti

A
  • Spreads along fascial plane- Rapid progression- Clostridium perfringens most common
20
Q

Necrotizing fasciitis- Sx

A
  • Systemic toxicity- Fever- Pain out of proportion- Crepitus and bullae- Hemorrhagic bullae
21
Q

Necrotizing fasciitis- Tx

A
  • Surgical removal of dead skin and fascia- Abx
22
Q

Abscess- Eti

A
  • Fibrin trapped collection of pus
23
Q

Abscess- Sx

A
  • Fluctuation- Fever, pain at surgical site- Edema of surrounding skin
24
Q

Abscess- Dx

A

Culture for abx

25
Q

Abscess- Tx

A
  • Open and drain- Remove necrotic tissue- Abx
26
Q

Fistulas/ sinus tracts- Eti

A
  • Progression of abscess
27
Q

Fistulas/ sinus tracts- Timeline

A

5-10 days post op

28
Q

Fistulas/ sinus tracts- Sx

A
  • Prolonged ileus- Fever- Abd tenderness- Wound infection
29
Q

Fistulas/ sinus tracts- Dx

A

CT with contrast- Fistulogram

30
Q

Fistulas/ sinus tracts- Tx

A
  • Drain- Abx- TPN
31
Q

Bacteremia/ Septicemia- Eti

A
  • Bacteria in blood- Infected GI or Uro tract- Speticemia = inflammatory response to infection
32
Q

Bacteremia/ Septicemia- Sx

A
  • Delerium- Hypoxia- Shock and edema- Multiple organ system dysfunction- Warmth, erythema and tenderness at site of incision
33
Q

Bacteremia/ Septicemia- Dx

A
  • Cutures
34
Q

Bacteremia/ Septicemia- Tx

A
  • Abx
35
Q

Pneumonia- Eti

A
  • Aspiration d/t oropharyngeal secretions- Psuedomonas aeruginosa or gram negative
36
Q

Pneumonia- Sx

A
  • Tachypnea- Lung consolidation- Purulent sputum- + CXR
37
Q

Pneumonia- Tx

A

Empiric abx

38
Q

UTI- Eti

A
  • E coli- Immunocompromised- Catheterization
39
Q

UTI- Timeline

A

48-72 hrs

40
Q

UTI- Sx

A

Fever, dysuria- Frequency, urgency- Flank pain- Confusion in elderly

41
Q

UTI- Tx

A
  • Sulfa abx