Infections In Diabetics

Front 1

1. What is the proper treatment of a diabetic foot ulcer whose margins are surrounded by thick callus, but are not undermined, tender, or erythematous. The base of the ulcer contains a cloudy, non-malodorous exudate w/ mixed flora on Gram stain. Pedal pulses are intact. The most appropriate management of the ulcer is to:

Back 1

Recommend daily antibacterial soaks, discontinue weight bearing activities, and reassess weekly

Front 2

To make a diagnosis of erythrasma, what is the first step?

Back 2

Fluorescent lighting

caused by Corynebacterium minutissimum

Front 3

A diabetic has a severe foot ulcer involving the great toe. Cultures and smears of bone reveal mixed flora. He also has severe peripheral vascular disease. Management would involve:

Back 3

Surgical restoration of the circulation followed by debridement

Front 4

A diabetic patient from Palm Springs, CA is brought to the hospital in ketoacidosis. On exam, there is a necrotic ulcer on his hard palate. Assuming he has a fungal infection, biopsy with special stains would show which of the following?

Back 4

wide, ribbony, non-septate hyphae

Front 5

A UTI associated with the symptom of pneumaturia would be mostly likely to be caused by:

Back 5

Candida albicans

fungus balls...yummy

Front 6

A diabetic woman is brought to the hospital in ketoacidosis. She has marked erythema and crepitus of the labia majora. What is the most appropriate first step in management?

Back 6

Obtain imaging of the area and consult the surgery service emergently

Think necrotizing fasciitis caused by staph aureus or strep pyogenes or MIX***

Front 7

Poorly controlled diabetics develop foot ulcers mainly because of?

Back 7

Peripheral polyneuropathy


(and major vessel disease, but that's not an option...or both)

Front 8

Emphysematous cholecysitis in diabetics is usually due to:

Back 8

Mixed colonic flora

(anaerobes and aerobic Gram -'s and often C. perfringens)