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
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
3
Q
Furuncle/ carbuncle- Tx
A
- Furncle- Drainage- Carbuncle- Excision and abx
4
Q
Cellulitis- Eti
A
Connective tissue infection- PMNs- Strept or staph
5
Q
Cellulitis- Sx
A
- Brawny reddish brown skin- Edematous- Surgical wound site as portal of entry-High fever - Lymphangitis
6
Q
Cellulitis- Tx
A
- Rest, elevation- Abx- Warm packs
7
Q
Pyomyositis- Eti
A
- Skeletal muscle infection- S. aureus and GAS
8
Q
Gas gangrene- Eti
A
- Clostridium species
9
Q
Wound infection- Eti
A
- Staph or strept infection during procedure- 3rd most common infection
10
Q
Wound infection- Timeline
A
5-10 days post op
11
Q
Wound infection- Sx
A
- Fever- Erythema, pain, warmth at surgical site
12
Q
Wound infection- Tx
A
- Open wound and drain- Abx if invasive
13
Q
Pyomyositis- Sx
A
- Severe muscle edema- Compartment syndrome- Necrosis- Skin change
14
Q
Pyomyositis- Dx
A
CT
15
Q
Pyomyositis- Tx
A
- Drainage- Abx
16
Q
Gas gangrene- Sx
A
- Red-brown skin sloughing off- Rapid progression- Foul smell- Discharge and gas bubbles
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
Abscess- Tx
- Open and drain- Remove necrotic tissue- Abx
26
Fistulas/ sinus tracts- Eti
- Progression of abscess
27
Fistulas/ sinus tracts- Timeline
5-10 days post op
28
Fistulas/ sinus tracts- Sx
- Prolonged ileus- Fever- Abd tenderness- Wound infection
29
Fistulas/ sinus tracts- Dx
CT with contrast- Fistulogram
30
Fistulas/ sinus tracts- Tx
- Drain- Abx- TPN
31
Bacteremia/ Septicemia- Eti
- Bacteria in blood- Infected GI or Uro tract- Speticemia = inflammatory response to infection
32
Bacteremia/ Septicemia- Sx
- Delerium- Hypoxia- Shock and edema- Multiple organ system dysfunction- Warmth, erythema and tenderness at site of incision
33
Bacteremia/ Septicemia- Dx
- Cutures
34
Bacteremia/ Septicemia- Tx
- Abx
35
Pneumonia- Eti
- Aspiration d/t oropharyngeal secretions- Psuedomonas aeruginosa or gram negative
36
Pneumonia- Sx
- Tachypnea- Lung consolidation- Purulent sputum- + CXR
37
Pneumonia- Tx
Empiric abx
38
UTI- Eti
- E coli- Immunocompromised- Catheterization
39
UTI- Timeline
48-72 hrs
40
UTI- Sx
Fever, dysuria- Frequency, urgency- Flank pain- Confusion in elderly
41
UTI- Tx
- Sulfa abx
