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17 Cards in this Set

  • Front
  • Back
Cellulitis Def and Etiology
acute inflammation of the dermis and sub-q tissue, caused by hemolytic stretpococci, Pseudomonas sp, and Staphlycoccus aureus, Haemophilus
Cellulitis Clinical Features
unilateral erythematous, warm and tender patch/plaque with irregular or illdefined margins, fever, malaise, anoerexia, chills, MOST Common on the lower extremitiy
Cellulitis Differential Diagnosis
stasis or contact dermatitis, DVT, superficial thrombophlebitis
Cellulitis Treatment and Prevention
Tx: PO Antibiotics, occasionally IV antibiotics, elevation and supportive measures
Prevention: supportive stocking, proper skin hygiene, and early treatment for tinea pedis
Erysipelas Def and Etiology
acute inflammation of the dermis (superficial subset of cellulitis), caused most often by Group A beta-hemolytic strep.
Erysipelas Clinical Features
acute onset, unilateral, raised, indurated and tender, peau de orange appearance, sharp elevated margins, most often found on face, scalp and legs
How is Erysipelas different than Cellulitis in clinical presentation?
Erysipelas: more often found on the face, the red area is raised with clearly defined margins
Erysipelas Differential Diagnosis
Contact dermatitis, drug reaction, thrombophlebitis, and erythema migrans
Erysipelas Treatment and Complications
aggressive antibiotics, treat other skin conditions, and supportive care
Complications: sepsis, desquamation, and chromic edema
Impetigo Def and Etiology
A acute, contagious superficial skin infection. Most often caused by Staph. aureus.
Impetigo Clinical Manifestations
initial vesicle and then pustule which ruptures, and what remains forming a honey-colored crust with stuck on appearance, can occure anywhere but most often on face, front of legs and extensor surface of arm and hand
Impetigo Differential Diagnosis
herpes simplex virus, tinea corporis, and varicella
Impetigo Treatment
local infection: topical antibiotic, widespread: PO antibiotic
recurrent: nasal swab and culture, and treat for colonization
Toxic Shock Syndrome Def and Etiology
acute toxin mediated illness due to toxin producing Staph. aureus
TSS Predisposing conditions:
tampon use, wounds infection, most often seen in caucasian women, menstral TSS more common than non-menstral
TSS Clinical Manifestations
Rapid onset of fever, hypotension, macular rash which is itchy, organ failure
TSS treatment and complications
IV antibiotics, remove FB, and supportive care, results in death in 25-50% of patients which develop